Organization Active NPI

Laboratorio Clinico CDT

  • Clinical Medical Laboratory
  • Barceloneta, PR
National Provider Identifier
1417915182
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
629 Issued in PR
Legal business name
LABORATORIO CLINICO CDT
Practice address
1 Calle Tomas Davila
Barceloneta, PR 00617-2736
Phone
(787) 846-6890
Fax
(787) 846-5458
NPI assigned
May 3, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
CDT Rivera Labarca Rivera Labarca, 30656
Title
Owners
Phone
(787) 846-6890

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 629 PR Primary

Addresses

Primary practice location

1 Calle Tomas Davila
Barceloneta, PR 00617-2736

Mailing address

PO Box 359
Barceloneta, PR 00617-0359
Phone (787) 846-6890

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417915182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 359",
            "city": "BARCELONETA",
            "state": "PR",
            "postal_code": "006170359",
            "telephone_number": "787-846-6890",
            "fax_number": "787-846-5458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CALLE TOMAS DAVILA",
            "city": "BARCELONETA",
            "state": "PR",
            "postal_code": "006172736",
            "telephone_number": "787-846-6890",
            "fax_number": "787-846-5458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO CDT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RIVERA LABARCA",
        "authorized_official_first_name": "CDT RIVERA LABARCA",
        "authorized_official_title_or_position": "OWNERS",
        "authorized_official_telephone_number": "787-846-6890",
        "authorized_official_credential": "30656"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barceloneta, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.