NPIMap

Organization Active NPI

Laboratorio Clinicoy Bacteriologico Santiago

  • Clinical Medical Laboratory
  • Utuado, PR
National Provider Identifier
1437375490
Registry record updated Oct 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
869 Issued in PR
Legal business name
LABORATORIO CLINICOY BACTERIOLOGICO SANTIAGO
Practice address
Carretera #111 KM 57.1
Utuado, PR 00641-9731
Phone
(787) 894-0908
Fax
(787) 894-0908
NPI assigned
Apr 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2021

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

Authorized official

Name
Mr. Ferdinand Santiago-Irizarry, MT(ASCP), MSNPI 1437126448
Title
Director
Phone
(787) 380-1338

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 869 PR Primary

Addresses

Primary practice location

Carretera #111 KM 57.1
Utuado, PR 00641-9731

Mailing address

HC 03 Box 13991
Utuado, PR 00641-9731
Phone (787) 894-0908

National Provider Directory

National Provider Directory
Tax ID family
Laboratorio Clinico Santiago-Irizarry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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.

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635465600000",
    "number": "1437375490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 03 BOX 13991",
            "city": "UTUADO",
            "state": "PR",
            "postal_code": "006419731",
            "telephone_number": "787-894-0908",
            "fax_number": "787-894-0908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA #111 KM 57.1",
            "city": "UTUADO",
            "state": "PR",
            "postal_code": "006419731",
            "telephone_number": "787-894-0908",
            "fax_number": "787-894-0908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICOY BACTERIOLOGICO SANTIAGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-29",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO-IRIZARRY",
        "authorized_official_first_name": "FERDINAND",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "787-380-1338",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MT(ASCP), MS"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Utuado, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2021; 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.