Active NPI
Laboratorio Clinico Antillanos LLC
- Clinical Medical Laboratory
- Carolina, PR
National Provider Identifier
1477394674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- LABORATORIO CLINICO ANTILLANOS LLC
- Practice address
- Carr. 860 Esq. Ave. a Local 9
Urb. Metropolis
Carolina, PR 00987 - Phone
- (787) 622-3047
- NPI assigned
- Jun 3, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Karla M Aponte, MT
- Title
- Provider
- Phone
- (939) 415-2244
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
Carr. 860 Esq. Ave. a Local 9
Urb. Metropolis
Carolina, PR 00987
Mailing address
2Mr587 Via 3
Carolina, PR 00983-3873
Phone (939) 415-2244
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250204000320 | PR | Part B Supplier - Independent Clinical Laboratory | 4082144217 | Practice locations: Carolina, PR |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717372800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1731024000000",
"number": "1477394674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2MR587 VIA 3",
"city": "CAROLINA",
"state": "PR",
"postal_code": "009833873",
"telephone_number": "939-415-2244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR. 860 ESQ. AVE. A LOCAL 9",
"address_2": "URB. METROPOLIS",
"city": "CAROLINA",
"state": "PR",
"postal_code": "00987",
"telephone_number": "787-622-3047"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LABORATORIO CLINICO ANTILLANOS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-06-03",
"last_updated": "2024-11-08",
"certification_date": "2024-11-08",
"status": "A",
"authorized_official_last_name": "APONTE",
"authorized_official_first_name": "KARLA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PROVIDER",
"authorized_official_telephone_number": "939-415-2244",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MT"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carolina, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; 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.