Active NPI
Laboratorio Clinico J Rodriguez, LLC
- Clinical Medical Laboratory
- Sabana Grande, PR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- LABORATORIO CLINICO J RODRIGUEZ, LLC
- Practice address
- 23 Calle Francisco M Quinonez
Sabana Grande, PR 00637-1942 - Phone
- (787) 873-2721
- Fax
- (787) 873-2557
- NPI assigned
- Sep 25, 2019
- 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
- Dr. Jerimer J Rodriguez-Velez
- Title
- Owner
- Phone
- (787) 506-0994
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
23 Calle Francisco M Quinonez
Sabana Grande, PR 00637-1942
Mailing address
23 Calle Francisco M Quinonez
Sabana Grande, PR 00637-1942
Phone (787) 873-2721
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 291U00000X | Other | TAXONOMY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200325001411 | PR | Part B Supplier - Independent Clinical Laboratory | 0941634281 | Practice locations: Sabana Grande, PR |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 40D0670351 | Laboratorio Clinico J Rodriguez, LLC | Compliance | Jul 9, 2028 |
National Provider Directory
National Provider DirectoryLocations
23 Calle Francisco M Quinonez
Sabana Grande, PR 00637
Phone (787) 646-7602
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Physician
- Yauco, PR
- NPI 1710118815
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569369600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1569369600000",
"number": "1407407018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 CALLE FRANCISCO M QUINONEZ",
"city": "SABANA GRANDE",
"state": "PR",
"postal_code": "006371942",
"telephone_number": "787-873-2721",
"fax_number": "787-873-2557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 CALLE FRANCISCO M QUINONEZ",
"city": "SABANA GRANDE",
"state": "PR",
"postal_code": "006371942",
"telephone_number": "787-873-2721",
"fax_number": "787-873-2557"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LABORATORIO CLINICO J RODRIGUEZ, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-09-25",
"last_updated": "2019-09-25",
"status": "A",
"authorized_official_last_name": "RODRIGUEZ-VELEZ",
"authorized_official_first_name": "JERIMER",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "787-506-0994",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAXONOMY",
"identifier": "291U00000X",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sabana Grande, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.