Organization Active NPI

Lab Clinico Villanueva

  • Clinical Medical Laboratory
  • Isabela, PR
National Provider Identifier
1396895553
Registry record updated Sep 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
818 Issued in PR
Legal business name
LAB CLINICO VILLANUEVA
Practice address
100 Calle Emilio Gonzalez
Isabela, PR 00662-2644
Phone
(787) 872-2165
Fax
(787) 872-2165
NPI assigned
Jan 11, 2007
Last updated
Sep 10, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2010

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

Authorized official

Name
Mrs. Maria Esther Rodriguez, M.T.
Title
Director
Phone
(787) 872-2165

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 818 PR Primary

Addresses

Primary practice location

100 Calle Emilio Gonzalez
Isabela, PR 00662-2644

Mailing address

PO Box 2442
Isabela, PR 00662-2004
Phone (787) 872-2165

National Provider Directory

National Provider Directory

Locations

100 Calle Emilio Gonzalez
Isabela, PR 00662
Phone (787) 872-2165

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284076800000",
    "number": "1396895553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2442",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006622004",
            "telephone_number": "787-872-2165",
            "fax_number": "787-872-2165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CALLE EMILIO GONZALEZ",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006622644",
            "telephone_number": "787-872-2165",
            "fax_number": "787-872-2165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAB CLINICO VILLANUEVA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2010-09-10",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "ESTHER",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "787-872-2165",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.T."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Isabela, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.