Laboratorio Periferovascular Csa, Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

207R10011X Issued in PR

Legal business name

LABORATORIO PERIFEROVASCULAR CSA, INC.

Practice address

622 Ave San Luis Carr. 129
Arecibo, PR 00612-0575

Phone

(787) 879-4632

Fax

(787) 881-5762

NPI assigned

Oct 10, 2013

Organization subpart

No

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

Authorized official

Name

Lillibeth Castro

Title

Administrator

Phone

(787) 879-4632

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1381363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1457788226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 575",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006130575",
            "telephone_number": "787-879-4632",
            "fax_number": "787-881-5762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 AVE SAN LUIS CARR. 129",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006120575",
            "telephone_number": "787-879-4632",
            "fax_number": "787-881-5762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO PERIFEROVASCULAR CSA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-10",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "CASTRO",
        "authorized_official_first_name": "LILLIBETH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-879-4632"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PR",
            "license": "207R10011X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERVENTIONAL CARDIOLOGY",
            "identifier": "6407",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERNAL MEDICINE",
            "identifier": "207R10011X",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laboratorio Clinico Vega CSP (Laboratorio Clinico Vega II)
• Laboratorio Clinico Villa Los Santos
• Laboratorio Clinico Vista Azul, Inc
• Laboratorio Los Pinos
• Laboratorio Noy
• Laboratorio Villa Los Santos, LLC
• Rosa M Lafontaine, PHARMACIST
• Mirta Eliana Lajara Rivera I, PHARMD
• Paola Maria Landrau Correa, LCDA.
• Luis Franklyn Laracuente, PHD

• Clinic/Center in Arecibo, PR
• Providers in Arecibo, PR by specialty
• Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.