Laboratorio Clinico Lavita LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

LABORATORIO CLINICO LAVITA LLC

Doing business as

Lavita Lab PR

Practice address

Carr #2 KM 160.9 Bo. Guanajibo Local 4
Hormigueros, PR 00660

Phone

(939) 271-4978

Fax

(787) 831-5291

NPI assigned

Feb 2, 2022

Last updated

Mar 28, 2022By 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

Marggie Rodriguez

Title

Administrator

Phone

(939) 271-4978

Specialties & licenses 1

Addresses

Other names 1

• LAVITA LAB PR Doing business as

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

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

{
    "created_epoch": "1643760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648425600000",
    "number": "1487307195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182 RAMON EMETERIO BETANCES SUR",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "939-271-4978",
            "fax_number": "787-831-5291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR #2 KM 160.9 BO. GUANAJIBO LOCAL 4",
            "city": "HORMIGUEROS",
            "state": "PR",
            "postal_code": "00660",
            "telephone_number": "939-271-4978",
            "fax_number": "787-831-5291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO LAVITA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-02",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "MARGGIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "939-271-4978"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LAVITA LAB PR",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LAVITA LAB PR",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lidia Jusino
• Lab Clinico Hormigueros
• Laboratorio Clinica Dr. Rovira
• Laboratorio Clinico Constancia Inc
• Laboratorio Clinico Hormigueros LLC
• Lasai Corporation
• Lavita Wellness LLC
• Catherine Lebron
• Minoshka Denise Liquet, PSY.D.
• Maria Malave Arroyo, MSW

• Clinical Medical Laboratory in Hormigueros, PR
• Providers in Hormigueros, 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 Mar 28, 2022; 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.