Organization Active NPI

Zoraida Rodriguez Cruz

  • Clinical Medical Laboratory
  • Trujillo Alto, PR
National Provider Identifier
1467468942
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
493 Issued in PR
Legal business name
ZORAIDA RODRIGUEZ CRUZ
Doing business as
Laboratorio Clinico Ciudad Universitaria
Practice address
N16 Calle Aa
Ciudad Universitaria
Trujillo Alto, PR 00976-3130
Phone
(787) 755-2697
Fax
(787) 761-1850
NPI assigned
Aug 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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

Authorized official

Name
Ms. Zoraida Rodriguez, MEDICAL TECHNOLOGYNPI 1659356848
Title
Director
Phone
(787) 755-2697

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 493 PR Primary

Addresses

Primary practice location

N16 Calle Aa
Ciudad Universitaria
Trujillo Alto, PR 00976-3130

Mailing address

N16 Calle Aa
Ciudad Universitaria
Trujillo Alto, PUERTO RICO 00976 3119
UM
Phone (787) 755-2697

Other names 1

  • Laboratorio Clinico Ciudad Universitaria Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100505000057 PR Part B Supplier - Independent Clinical Laboratory 6608904164 Practice locations: Trujillo Alto, PR

National Provider Directory

National Provider Directory

Locations

N16 Calle AA
Trujillo Alto, PR 00976
Phone (787) 755-2697

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": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1467468942",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "N16 CALLE AA",
            "address_2": "CIUDAD UNIVERSITARIA",
            "city": "TRUJILLO ALTO",
            "state": "PUERTO RICO",
            "postal_code": "00976 3119",
            "telephone_number": "787-755-2697",
            "fax_number": "787-283-3463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N16 CALLE AA",
            "address_2": "CIUDAD UNIVERSITARIA",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009763130",
            "telephone_number": "787-755-2697",
            "fax_number": "787-761-1850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZORAIDA RODRIGUEZ CRUZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "ZORAIDA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "787-755-2697",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MEDICAL TECHNOLOGY"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laboratorio Clinico Ciudad Universitaria",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Trujillo Alto, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.