Organization Active NPI

Juan Lopez Velaquez

Doing business as Laboratorio Clinico Guayanes

  • Clinical Medical Laboratory
  • Penuelas, PR
National Provider Identifier
1477640530
Registry record updated Mar 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
1014 Issued in PR
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, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2009

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120420000498 PR Part B Supplier - Independent Clinical Laboratory 7618138421 Practice locations: Penueles, PR

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.