Organization Active NPI

Servicios de Salud la Morenita Inc

  • Clinical Medical Laboratory
  • Bayamon, PR
National Provider Identifier
1467879445
Registry record updated Feb 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
SERVICIOS DE SALUD LA MORENITA INC
Practice address
PR 174 KM 10.2
Barrio Guaraguao
Bayamon, PR 00956
Phone
(787) 785-5050
Fax
(787) 785-5050
NPI assigned
Mar 27, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2015

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

Authorized official

Name
Dr. Efrain F Ortiz, M.D.
Title
Owner
Phone
(787) 637-4416

Specialties & licenses 1

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

Addresses

Primary practice location

PR 174 KM 10.2
Barrio Guaraguao
Bayamon, PR 00956

Mailing address

2020 Via Caracoles
Urb. Camino del Mar
Toa Baja, PR 00949-4369
Phone (787) 785-5050

Other names 1

  • Laboratorio Clinico La Morenita Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150323000866 PR Part B Supplier - Independent Clinical Laboratory 3072830504 Practice locations: Bayamon, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1395878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424304000000",
    "number": "1467879445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 VIA CARACOLES",
            "address_2": "URB. CAMINO DEL MAR",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009494369",
            "telephone_number": "787-785-5050",
            "fax_number": "787-785-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PR 174 KM 10.2",
            "address_2": "BARRIO GUARAGUAO",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00956",
            "telephone_number": "787-785-5050",
            "fax_number": "787-785-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERVICIOS DE SALUD LA MORENITA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-27",
        "last_updated": "2015-02-19",
        "status": "A",
        "authorized_official_last_name": "ORTIZ",
        "authorized_official_first_name": "EFRAIN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-637-4416",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laboratorio Clinico La Morenita",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2015; 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.