Active NPI
Juan Lopez Velaquez
Doing business as Laboratorio Clinico Guayanes
- Clinical Medical Laboratory
- Penuelas, PR
National Provider Identifier
1477640530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 1014
- Legal business name
- JUAN LOPEZ VELAQUEZ
- Doing business as
- Laboratorio Clinico Guayanes
- Practice address
- 961 Calle Munoz Rivera
Penuelas, PR 00624-1400 - Phone
- (787) 836-7926
- NPI assigned
- Oct 9, 2006
- Last updated
- Mar 30, 2009
- 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
- Mr. Juan Lopez, MT
- Title
- General Supervisor
- Phone
- (787) 836-7926
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 1014 | PR | Primary |
Addresses
Primary practice location
961 Calle Munoz Rivera
Penuelas, PR 00624-1400
Mailing address
188 Calle Invierno
Brisas del Guayanes
Penuelas, PR 00624-3012
Phone (787) 836-7926
Other names 1
- Laboratorio Clinico Guayanes
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120420000498 | PR | Part B Supplier - Independent Clinical Laboratory | 7618138421 | Practice locations: Penueles, PR |
National Provider Directory
National Provider DirectoryLocations
900 Calle Munoz Rivera
Penuelas, PR 00624
Phone (787) 624-9974
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160352000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1238371200000",
"number": "1477640530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "188 CALLE INVIERNO",
"address_2": "BRISAS DEL GUAYANES",
"city": "PENUELAS",
"state": "PR",
"postal_code": "006243012",
"telephone_number": "787-836-7926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "961 CALLE MUNOZ RIVERA",
"city": "PENUELAS",
"state": "PR",
"postal_code": "006241400",
"telephone_number": "787-836-7926"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JUAN LOPEZ VELAQUEZ",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-09",
"last_updated": "2009-03-30",
"status": "A",
"authorized_official_last_name": "LOPEZ",
"authorized_official_first_name": "JUAN",
"authorized_official_title_or_position": "GENERAL SUPERVISOR",
"authorized_official_telephone_number": "787-836-7926",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MT"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "PR",
"license": "1014",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Laboratorio Clinico Guayanes",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Penuelas, PR
- Instituto de Medicina Primaria Y Urgencias del Sur CSP
- Xariel Irizarry Nazario, PHARMD
- Lizmarie Irizarry Rentas
- JD Ambulance Corporation
- Norma Ivette Jordan, BNS
- Laboratorio Clinico Penuelas
- Laboratorio Clinico Penuelas
- Laboratorio Clinico Sonia Sepulveda
- Laboratorio Clinico Sonia Sepulveda, Inc
- Amedee Lefebre- Fernandez, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2009; 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.