Laboratorio Clinico Principal San Fernando, Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

LABORATORIO CLINICO PRINCIPAL SAN FERNANDO, INC

Doing business as

Laboratorio Clinico Principal Caparra

Practice address

Carr. #2 KM 7.56 Edif. 171
Sector Juan Domingo, Barrio Pueblo Viejo
Guaynabo, PR 00966

Phone

(787) 919-7060

Fax

(787) 919-7061

NPI assigned

Nov 24, 2014

Last updated

Nov 24, 2014By 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

Roseanne M Amado

Title

Administrator

Phone

(787) 919-7060

Specialties & licenses 1

Addresses

Other names 1

• Laboratorio Clinico Principal Caparra Doing business as

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Laboratorio Clinico Marielys, Inc

  dba Laboratorio Clinico Marie-E

  • Clinical Medical Laboratory
  • Bayamon, PR
  • NPI 1972541324

  O20060810000190

  Same enrollment

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Laboratorio Clinico Pura Vida, LLP

  • Clinical Medical Laboratory
  • Bayamon, PR
  • NPI 1598288367

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1416787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416787200000",
    "number": "1487051181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1528",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009601528",
            "telephone_number": "787-919-7060",
            "fax_number": "787-919-7061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. #2 KM 7.56 EDIF. 171",
            "address_2": "SECTOR JUAN DOMINGO, BARRIO PUEBLO VIEJO",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00966",
            "telephone_number": "787-919-7060",
            "fax_number": "787-919-7061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO PRINCIPAL SAN FERNANDO, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-24",
        "last_updated": "2014-11-24",
        "status": "A",
        "authorized_official_last_name": "AMADO",
        "authorized_official_first_name": "ROSEANNE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-919-7060"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laboratorio Clinico Principal Caparra",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laboratorio Clinico Las Colinas Inc.
• Laboratorio Clinico Munoz Rivera Inc (Laboratorio Clinico Munoz Rivera)
• Laboratorio Clinico Plaza Caparra
• Laboratorio Clinico Plaza Inc
• Laboratorio Clinico Plaza Real Inc
• Laboratorio Clinico Tintillo
• Isander Laboy Diaz, 1838P
• Miguel Laboy Rivera, 0867P
• Javier Laboy-Mercado, PSY.D
• Aracelis Laguna Cirilo, 1424P

• Clinical Medical Laboratory in Guaynabo, PR
• Providers in Guaynabo, 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 Nov 24, 2014; 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.