Laboratorio Clinico Lopez Rivera CSP

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

292 Issued in PR

Legal business name

LABORATORIO CLINICO LOPEZ RIVERA CSP

Practice address

Ave. Baldorioty # 56
Cayey, PR 00737-2140

Phone

(787) 738-5314

Fax

(787) 738-5314

NPI assigned

Dec 16, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Hilda E Lopez, MT

Title

Laboratory Director

Phone

(787) 738-5314

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198108800000",
    "number": "1417933904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AVE. BALDORIOTY # 56",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "007372140",
            "telephone_number": "787-738-5314",
            "fax_number": "787-738-5314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE. BALDORIOTY # 56",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "007372140",
            "telephone_number": "787-738-5314",
            "fax_number": "787-738-5314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO LOPEZ RIVERA CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-16",
        "last_updated": "2007-12-20",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "HILDA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "LABORATORY DIRECTOR",
        "authorized_official_telephone_number": "787-738-5314",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Enid Jimenez Franco
• Nereida Jimenez
• Faisal Kamal, PA-C
• Laboratorio Clinico Irizarry Guasch Inc
• Laboratorio Clinico Las Antillas PSC
• Laboratorio Clinico Montellano
• Laboratorio Clinico Montellano Inc
• Laboratorio Clinico Plaza Cayey, Inc.
• Laboratorio Mendoza, Inc
• Bennett J Laboy Collazo

• Clinical Medical Laboratory in Cayey, PR
• Providers in Cayey, 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 Dec 20, 2007; 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.