Laboratorio Clinico P Centro Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

827 Issued in PR

Legal business name

LABORATORIO CLINICO P CENTRO INC

Practice address

233 Ave Rafael Cordero
Caguas, PR 00725-3730

Phone

(787) 258-9052

NPI assigned

Mar 3, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Damaris Defendini, M.T.

Title

President

Phone

(787) 258-9052

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Laboratorio Clinico Plaza Centro Other name

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584316800000",
    "number": "1386773729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 AVE RAFAEL CORDERO STE 6",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007253730",
            "telephone_number": "787-258-9052",
            "fax_number": "877-779-7880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 AVE RAFAEL CORDERO",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007253730",
            "telephone_number": "787-258-9052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO P CENTRO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-03",
        "last_updated": "2020-03-16",
        "certification_date": "2020-03-16",
        "status": "A",
        "authorized_official_last_name": "DEFENDINI",
        "authorized_official_first_name": "DAMARIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-258-9052",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.T."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA HEALTH INSURANCE",
            "identifier": "6250101",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S",
            "identifier": "3-0819",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA INSURANCE",
            "identifier": "6250101",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALIC",
            "identifier": "LA0331",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laboratorio Clinico Plaza Centro",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Laboratorio Clinico Plaza Centro",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Laboratorio Clinico Caguas Centro Inc
• Laboratorio Clinico Caguas Norte
• Laboratorio Clinico Henriquez
• Laboratorio Clinico Paseo del Rio
• Laboratorio Clinico Paseo del Rio, LLC
• Laboratorio Clinico Sharem
• Laboratorio Clinico Tropical, Inc.
• Laboratorio Clinico Turabo Inc

• Clinical Medical Laboratory in Caguas, PR
• Providers in Caguas, PR by specialty
• Clinical Medical Laboratory in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2020; 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.

Verify at the official NPI Registry.