Laboratorio Clinico Parque Escorial

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

1079 Issued in PR

Legal business name

LABORATORIO CLINICO PARQUE ESCORIAL

Practice address

5829 Ave 65 Infanteria
Plaza Escorial Ste 109
Carolina, PR 00987-5007

Phone

(787) 257-8861

NPI assigned

Jul 31, 2006

Last updated

Jan 20, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Miguel A Rodriguez, LCDO.

Title

Owner

Phone

(787) 257-8861

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": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484870400000",
    "number": "1417963299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5829 AVE 65 INFANTERIA",
            "address_2": "PLAZA ESCORIAL STE 109",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009875007",
            "telephone_number": "787-257-8861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5829 AVE 65 INFANTERIA",
            "address_2": "PLAZA ESCORIAL STE 109",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009875007",
            "telephone_number": "787-257-8861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO PARQUE ESCORIAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2017-01-20",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-257-8861",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCDO."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "1079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laboratorio Clinico Jardines II
• Laboratorio Clinico Jardines, Inc. (Lab Clinico Jardines de Country Club)
• Laboratorio Clinico Los Colobos, Inc
• Laboratorio Clinico Medico Carolina Inc
• Laboratorio Clinico Metropolis
• Laboratorio Clinico Plaza Carolina Inc
• Laboratorio Clinico Policlinica Dr Salvador Ribot Ruiz
• Laboratorio Clinico Risan
• Laboratorio Clinico Sunrise Bay Inc
• Laboratorio Pulmonar Carolina Inc

• Clinical Medical Laboratory in Carolina, PR
• Providers in Carolina, 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 Jan 20, 2017; 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.