High Profile Laboratory San Juan LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

HIGH PROFILE LABORATORY SAN JUAN LLC

Practice address

150 Ave de Diego
San Juan Health Center BLDG Suite 402
San Juan, PR 00925

Phone

(787) 230-7556

Fax

(787) 705-0978

NPI assigned

Jul 23, 2020

Organization subpart

No

Name

Sasha Corretjer Ripoll

Title

Administrator

Phone

(787) 230-7556

Medicare fee-for-service enrollment

Enrolled in PR

• High Profile Lab 5 Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 23, 2020.

{
    "created_epoch": "1595462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595462400000",
    "number": "1508475757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PMB 355 AVE ESMERALDA 405",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00969",
            "telephone_number": "787-230-7556",
            "fax_number": "787-705-0978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 AVE DE DIEGO",
            "address_2": "SAN JUAN HEALTH CENTER BLDG SUITE 402",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00925",
            "telephone_number": "787-230-7556",
            "fax_number": "787-705-0978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH PROFILE LABORATORY SAN JUAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-23",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A",
        "authorized_official_last_name": "CORRETJER RIPOLL",
        "authorized_official_first_name": "SASHA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-230-7556"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "High Profile Lab 5",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• HHM Radiology
• James E. Hickey, PSYCH TECHNICIAN
• Alejandro Jorge Hidalgo Rios, MD
• Eduardo J Hidalgo, PH.D.
• Yohanny A Hidalgo
• Cibel M. Hilerio, PH.D.
• Ysatis Hill
• Darrel F. Hillman, D.M.D.
• Alexandra Hinds, RN, MEDSURG-BC
• Christine May Hinkel, CRNA

• All providers in San Juan, PR
• Clinical Medical Laboratory in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2020; 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.