Laboratorio Clinico Rio Grande, PSC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

709 Issued in PR

Legal business name

LABORATORIO CLINICO RIO GRANDE, PSC

Practice address

23 Bda Las Flores
Rio Grande, PR 00745-0001

Phone

(787) 887-8981

Fax

(787) 887-9356

NPI assigned

Jan 5, 2006

Last updated

Feb 13, 2008By 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

Mrs. Nolka T Pinero, MT

Title

President

Phone

(787) 887-8981

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": "1136419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202860800000",
    "number": "1427036987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 BDA LAS FLORES",
            "city": "RIO GRANDE",
            "state": "PR",
            "postal_code": "007450001",
            "telephone_number": "787-887-8981",
            "fax_number": "787-887-9356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 BDA LAS FLORES",
            "city": "RIO GRANDE",
            "state": "PR",
            "postal_code": "007450001",
            "telephone_number": "787-887-8981",
            "fax_number": "787-887-9356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO RIO GRANDE, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-05",
        "last_updated": "2008-02-13",
        "status": "A",
        "authorized_official_last_name": "PINERO",
        "authorized_official_first_name": "NOLKA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-887-8981",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laboratorio Clinico Bio Tech II
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• Laboratorio Clinico Chegar Inc
• Laboratorio Clinico Chegar Inc
• Laboratorio Clinico El Yunque LLC
• Laboratorio Clinico Y de Ref de Fajardo Inc (Laboratorio Clinico CDT de Rio Grande)
• LBS Medical Service Corp
• Francisco P Leal, M.D.
• Jose Angel Leduc, TEM PARAMEDIC
• Let's Eat and Learn LLC

• Clinical Medical Laboratory in Rio Grande, PR
• Providers in Rio Grande, 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 Feb 13, 2008; 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.