Laboratorio Alhambra, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

LABORATORIO ALHAMBRA, LLC

Practice address

104 Comercio
Juana Diaz, PR 00795

Phone

(787) 837-0556

Fax

(787) 837-5279

NPI assigned

Feb 7, 2023

Last updated

Apr 10, 2023By 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. Maria J Lopez

Title

President

Phone

(787) 487-7383

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

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

{
    "created_epoch": "1675728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681084800000",
    "number": "1477259893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 518",
            "city": "JUANA DIAZ",
            "state": "PR",
            "postal_code": "00795",
            "telephone_number": "787-837-0556",
            "fax_number": "787-837-5879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 COMERCIO",
            "city": "JUANA DIAZ",
            "state": "PR",
            "postal_code": "00795",
            "telephone_number": "787-837-0556",
            "fax_number": "787-837-5279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO ALHAMBRA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-07",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-487-7383",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose a Maiz Dedos (Maiz Clinical Laboratory)
• Jose a Ortiz DMD, PSC
• JS Home Medical Services
• Juana Diaz Medical Group Inc
• Kelvin Torres Rentas
• Laboratorio Clinico Cayabo
• Laboratorio Clinico Cayabo, LLC
• Laboratorio Clinico Irizarry Guasch Inc
• Laboratorio Clinico Jelmap
• Laboratorio Clinico Juanadino

• Clinical Medical Laboratory in Juana Diaz, PR
• Providers in Juana Diaz, 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 Apr 10, 2023; 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.