Laboratorio Clinico Miraflores Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

628 Issued in PR

Legal business name

LABORATORIO CLINICO MIRAFLORES INC

Practice address

Ave Los Dominicos Bloque 14 # 6 Urb Miraflores
Bayamon, PR 00957

Phone

(787) 730-5800

Fax

(787) 797-5086

NPI assigned

Feb 26, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Minerva Figuereo, LCDA.

Title

Director

Phone

(787) 730-5800

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334016000000",
    "number": "1407982432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BLOQUE 14 # 6, AVE. LOS DOMINICOS",
            "address_2": "URBANIZACION MIRAFLORES",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00957",
            "telephone_number": "787-730-5800",
            "fax_number": "787-797-5086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE LOS DOMINICOS BLOQUE 14 # 6 URB MIRAFLORES",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00957",
            "telephone_number": "787-730-5800",
            "fax_number": "787-797-5086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO MIRAFLORES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2012-04-10",
        "status": "A",
        "authorized_official_last_name": "FIGUEREO",
        "authorized_official_first_name": "MINERVA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "787-730-5800",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCDA."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laboratorio Clinico Marielys Inc
• Laboratorio Clinico Marielys, Inc (Laboratorio Clinico Marie-E)
• Laboratorio Clinico Martin Inc (Laboratorio Clinico Martin)
• Laboratorio Clinico Michelsan Inc
• Laboratorio Clinico Minillas Corp.
• Laboratorio Clinico North Main
• Laboratorio Clinico Principal Inc
• Laboratorio Clinico Pura Vida, LLP
• Laboratorio Clinico Renacer LLC
• Laboratorio Clinico Rex, Inc.

• Clinical Medical Laboratory in Bayamon, PR
• Providers in Bayamon, 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 Apr 10, 2012; 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.