Laboratorio Clinico Hatillano

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

1037 Issued in PR

Legal business name

LABORATORIO CLINICO HATILLANO

Practice address

142 Ave Pablo Aguilar Ste 10
Hatillo, PR 00659-1825

Phone

(787) 920-4218

NPI assigned

Jul 21, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Ivette Magaly Rivera, MT MS (ASCP)

Title

Administrador

Phone

(787) 920-4218

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

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

{
    "created_epoch": "1279670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279670400000",
    "number": "1487967287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 AVE PABLO AGUILAR STE 10",
            "city": "HATILLO",
            "state": "PR",
            "postal_code": "006591825",
            "telephone_number": "787-920-4218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 AVE PABLO AGUILAR STE 10",
            "city": "HATILLO",
            "state": "PR",
            "postal_code": "006591825",
            "telephone_number": "787-920-4218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO HATILLANO",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-21",
        "last_updated": "2010-07-21",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "IVETTE",
        "authorized_official_middle_name": "MAGALY",
        "authorized_official_title_or_position": "ADMINISTRADOR",
        "authorized_official_telephone_number": "787-920-4218",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MT MS (ASCP)"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "1037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lab Clinico CDT Dr Ferdinando Maldonado
• Laboratorio Clinic Omaris Inc
• Laboratorio Clinic Omaris, Inc
• Laboratorio Clinico del Bo. Corcobada, Inc.
• Laboratorio Clinico El Cemi
• Laboratorio Clinico Plaza del Norte Inc.
• Laboratorios del Sueno de Puerto Rico
• Laborotorio Clinico Y Bacteriologico Hatillo Inc
• Angelica Maria Laclaustra, B.S
• Laroptikal

• Clinical Medical Laboratory in Hatillo, PR
• Providers in Hatillo, 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 Jul 21, 2010; 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.