Active NPI
Laboratorio Clinico Barrazas Inc
- Clinical Medical Laboratory
- Carolina, PR
National Provider Identifier
1376860635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 1216
- Legal business name
- LABORATORIO CLINICO BARRAZAS INC
- Practice address
- Road 853 KM 11.4
Carolina, PR 00985 - Phone
- (787) 776-1300
- NPI assigned
- Apr 27, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Yadith Del Valle
- Title
- Mt
- Phone
- (787) 776-1300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 1216 | PR | Primary |
Addresses
Primary practice location
Road 853 KM 11.4
Carolina, PR 00985
Mailing address
HC 645 Box 6344
Trujillo Alto, PR 00976-9749
Phone (787) 509-0729
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100823000989 | PR | Part B Supplier - Independent Clinical Laboratory | 5799809083 |
1 other NPI on this enrollment Practice locations: Carolina, PR |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Clinical Medical Laboratory
- Carolina, PR
- NPI 1265916605
O20100823000989
National Provider Directory
National Provider Directory- Tax ID family
- Lab Clinico Barra Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Medical Laboratory
- Carolina, PR
- NPI 1265916605
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272326400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1282521600000",
"number": "1376860635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 645 BOX 6344",
"city": "TRUJILLO ALTO",
"state": "PR",
"postal_code": "009769749",
"telephone_number": "787-509-0729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ROAD 853 KM 11.4",
"city": "CAROLINA",
"state": "PR",
"postal_code": "00985",
"telephone_number": "787-776-1300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LABORATORIO CLINICO BARRAZAS INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-04-27",
"last_updated": "2010-08-23",
"status": "A",
"authorized_official_last_name": "DEL VALLE",
"authorized_official_first_name": "YADITH",
"authorized_official_title_or_position": "MT",
"authorized_official_telephone_number": "787-776-1300"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "PR",
"license": "1216",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carolina, PR
- Jorge Antonio La Cruz Rivera
- La Medica, LLC
- Lab. Clinico Rosario
- Laboratorio Clinico Antillanos LLC
- Laboratorio Clinico Barrazas Inc
- Laboratorio Clinico Bio Tech Inc
- Laboratorio Clinico DCN Corp
- Laboratorio Clinico Doctor Center, Inc.
- Laboratorio Clinico Francisco Landron Inc.
- Laboratorio Clinico Iturregui, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.