NPIMap

Organization Active NPI

Laboratorios del Sueno de Puerto Rico

  • Clinical Medical Laboratory
  • Bayamon, PR
National Provider Identifier
1487029450
Registry record updated Dec 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
516492 Issued in PR
Legal business name
LABORATORIOS DEL SUENO DE PUERTO RICO
Practice address
1845 Carr 2 Ste 703
Road #2
Bayamon, PR 00959-7206
Phone
(787) 986-7010
Fax
(787) 805-4477
NPI assigned
Dec 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2015

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

Authorized official

Name
Ms. Ivette Otero
Title
Secretary
Phone
(787) 986-7010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 516492 PR Primary

Addresses

Primary practice location

1845 Carr 2 Ste 703
Road #2
Bayamon, PR 00959-7206

Mailing address

55 Calle de Diego E Ste 405
CPR Prof. BLDG
Mayaguez, PR 00680-5082
Phone (787) 778-5957

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160408001926 PR Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 4587961610 Practice locations: Bayamon, PR

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Laboratorios del Sueno de Puerto Rico4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1845 Carr 2
Ste 703
Bayamon, PR 00959
Phone (787) 986-7010

55 Calle de Diego E
Ste 405
Mayaguez, PR 00680
Phone (787) 986-7010

55 Calle de Diego E
Mayaguez, PR 00680
Phone (787) 805-2390

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": "1449014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449532800000",
    "number": "1487029450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 CALLE DE DIEGO E STE 405",
            "address_2": "CPR PROF. BLDG",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006805082",
            "telephone_number": "787-778-5957",
            "fax_number": "787-778-5958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 CARR 2 STE 703",
            "address_2": "ROAD #2",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009597206",
            "telephone_number": "787-986-7010",
            "fax_number": "787-805-4477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIOS DEL SUENO DE PUERTO RICO",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-02",
        "last_updated": "2015-12-08",
        "status": "A",
        "authorized_official_last_name": "OTERO",
        "authorized_official_first_name": "IVETTE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "787-986-7010",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "516492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 8, 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.