Active NPI
Laboratorio Laracuente LLC
- Clinical Medical Laboratory
- Dorado, PR
National Provider Identifier
1386233799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- LABORATORIO LARACUENTE LLC
- Practice address
- 291 Calle Mendez Vigo
Dorado, PR 00646-4913 - Phone
- (787) 796-1003
- NPI assigned
- Jan 12, 2021
- 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
- Sonia Laracuente, MT
- Title
- Director
- Phone
- (787) 796-1003
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
291 Calle Mendez Vigo
Dorado, PR 00646-4913
Mailing address
291 Calle Mendez Vigo
Dorado, PR 00646-4913
Phone (787) 796-1003
Other names 1
- Laboratorio Clinico Laracuente
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220527000654 | PR | Part B Supplier - Independent Clinical Laboratory | 1557749876 | Practice locations: Dorado, PR |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Other Specialist/Technologist
- Dorado, PR
- NPI 1245238302
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610409600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1624233600000",
"number": "1386233799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "291 CALLE MENDEZ VIGO",
"city": "DORADO",
"state": "PR",
"postal_code": "006464913",
"telephone_number": "787-796-1003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "291 CALLE MENDEZ VIGO",
"city": "DORADO",
"state": "PR",
"postal_code": "006464913",
"telephone_number": "787-796-1003"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LABORATORIO LARACUENTE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-12",
"last_updated": "2021-06-21",
"certification_date": "2021-06-21",
"status": "A",
"authorized_official_last_name": "LARACUENTE",
"authorized_official_first_name": "SONIA",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "787-796-1003",
"authorized_official_credential": "MT"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Laboratorio Clinico Laracuente",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Laboratorio Clinico Laracuente",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Dorado, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; 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.