Active NPI
Laboratorio Clinico Coamo Inc
- Clinical Medical Laboratory
- Coamo, PR
National Provider Identifier
1487617841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 414
- Legal business name
- LABORATORIO CLINICO COAMO INC
- Practice address
- 129 Jose I Quinton St
Coamo, PR 00769-4188 - Phone
- (787) 803-0343
- Fax
- (787) 803-0343
- NPI assigned
- Apr 7, 2006
- 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
- Dr. Katherine Davila, MD
- Title
- President Director
- Phone
- (787) 803-0343
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 414 | PR | Primary |
Addresses
Primary practice location
129 Jose I Quinton St
Coamo, PR 00769-4188
Mailing address
PO Box 2188
Coamo, PR 00769-4188
Phone (787) 803-0343
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090130000484 | PR | Part B Supplier - Independent Clinical Laboratory | 6507920857 | Practice locations: Coamo, PR |
National Provider Directory
National Provider Directory- Tax ID family
- Lab Clinico Coamo Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Medical Laboratory
- Cidra, PR
- NPI 1932410545
Locations
129 Calle Jose I Quinton
Coamo, PR 00769
Phone (787) 803-0343
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Pathology Physician
- Coamo, PR
- NPI 1407976038
-
- Primary Care Clinic/Center
- Coamo, PR
- NPI 1710062211
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144368000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1471478400000",
"number": "1487617841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2188",
"city": "COAMO",
"state": "PR",
"postal_code": "007694188",
"telephone_number": "787-803-0343",
"fax_number": "787-803-0434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "129 JOSE I QUINTON ST",
"city": "COAMO",
"state": "PR",
"postal_code": "007694188",
"telephone_number": "787-803-0343",
"fax_number": "787-803-0343"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LABORATORIO CLINICO COAMO INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-07",
"last_updated": "2016-08-18",
"status": "A",
"authorized_official_last_name": "DAVILA",
"authorized_official_first_name": "KATHERINE",
"authorized_official_title_or_position": "PRESIDENT DIRECTOR",
"authorized_official_telephone_number": "787-803-0343",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "PR",
"license": "414",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coamo, PR
- Inspira Behavioral Care Corp.
- Inspira Mental Health Management
- Instituto Cardiovascular de Coamo, CSP
- Inter Island Medical Equipment, Inc
- Liliana Keitt-Blanks
- Laboratorio Clinico Irizarry Guasch Inc
- Laboratorio Clinico Soram, Inc.
- Laboratorio Clinico Yanluis
- Jose Jesus Larrauri del Valle Jr., MD
- Jose Jesus Larrauri Renta, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2016; 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.