Active NPI
Servi-Lab Inc
- Clinical Medical Laboratory
- Luquillo, PR
National Provider Identifier
1407901101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 913
- Legal business name
- SERVI-LAB INC
- Practice address
- 109 Calle Fernandez Garcia
Luquillo, PR 00773-2241 - Phone
- (787) 889-6878
- Fax
- (787) 655-0011
- NPI assigned
- Jan 24, 2007
- 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
- Mr. Alberto Rafael Valentin, ADM
- Title
- Administarator
- Phone
- (787) 889-5730
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 913 | PR | Primary |
Addresses
Primary practice location
109 Calle Fernandez Garcia
Luquillo, PR 00773-2241
Mailing address
PO Box 1013
Luquillo, PR 00773-1013
Phone (787) 889-5730
Other practice location 1
4 Cond Playa Azul 4 Ste 2
Luquillo, PR 00773-2381
Phone (787) 889-5730
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080814000681 | PR | Part B Supplier - Independent Clinical Laboratory | 8325113046 | Practice locations: Luquillo, PR |
National Provider Directory
National Provider DirectoryLocations
4 Cond Playa Azul 4
Ste 2
Luquillo, PR 00773
Phone (787) 889-5730
109 Calle Fernandez Garcia
Ste 2
Luquillo, PR 00773
Phone (787) 889-6878
109 Calle Fernandez Garcia
Luquillo, PR 00773
Phone (787) 719-4036
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1765152000000",
"number": "1407901101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1013",
"city": "LUQUILLO",
"state": "PR",
"postal_code": "007731013",
"telephone_number": "787-889-5730",
"fax_number": "787-889-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 CALLE FERNANDEZ GARCIA",
"city": "LUQUILLO",
"state": "PR",
"postal_code": "007732241",
"telephone_number": "787-889-6878",
"fax_number": "787-655-0011"
}
],
"practiceLocations": [
{
"address_1": "4 Cond Playa Azul 4 Ste 2",
"address_purpose": "LOCATION",
"city": "Luquillo",
"state": "PR",
"postal_code": "007732381",
"country_code": "US",
"telephone_number": "787-889-5730",
"fax_number": "787-655-7466",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SERVI-LAB INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-24",
"last_updated": "2025-12-08",
"certification_date": "2025-12-08",
"status": "A",
"authorized_official_last_name": "VALENTIN",
"authorized_official_first_name": "ALBERTO",
"authorized_official_middle_name": "RAFAEL",
"authorized_official_title_or_position": "ADMINISTARATOR",
"authorized_official_telephone_number": "787-889-5730",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "ADM"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "PR",
"license": "913",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Luquillo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2025; 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.