Laboratorio Clinico Policlinica Dr Salvador Ribot Ruiz

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

1068 Issued in PR

Legal business name

LABORATORIO CLINICO POLICLINICA DR SALVADOR RIBOT RUIZ

Practice address

Carretera 857 KM 0.4
Canovanillas
Carolina, PR 00987

Phone

(787) 752-9375

Fax

(787) 752-9375

NPI assigned

Jan 26, 2007

Organization subpart

No

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

Authorized official

Name

Susana Berrios, MEDICAL TECHNOLOGIST

Title

Laboratory Director

Phone

(787) 752-9375

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

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

• Laboratorio Clinico Jardines

  • Clinical Medical Laboratory
  • Carolina, PR
  • NPI 1578619292

  O20130904000970

  Same enrollment
• Laboratorio Clinico Jardines, Inc.

  • Clinical Medical Laboratory
  • Carolina, PR
  • NPI 1932386323

  O20130904000970

  Same enrollment

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brenda Liz Quiles

  • Home Health Registered Nurse
  • Carolina, PR
  • NPI 1922664283
  NPD (past)

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508912254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1965",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009841965",
            "telephone_number": "787-752-9375",
            "fax_number": "787-752-9375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA 857 KM 0.4",
            "address_2": "CANOVANILLAS",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00987",
            "telephone_number": "787-752-9375",
            "fax_number": "787-752-9375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO POLICLINICA DR SALVADOR RIBOT RUIZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BERRIOS",
        "authorized_official_first_name": "SUSANA",
        "authorized_official_title_or_position": "LABORATORY DIRECTOR",
        "authorized_official_telephone_number": "787-752-9375",
        "authorized_official_credential": "MEDICAL TECHNOLOGIST"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "1068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laboratorio Clinico Los Colobos, Inc
• Laboratorio Clinico Medico Carolina Inc
• Laboratorio Clinico Metropolis
• Laboratorio Clinico Parque Escorial
• Laboratorio Clinico Plaza Carolina Inc
• Laboratorio Clinico Risan
• Laboratorio Clinico Sunrise Bay Inc
• Laboratorio Pulmonar Carolina Inc
• Jose Antonio Lacen, PSYD.
• Stephanie Lacen, MSW

• Clinical Medical Laboratory in Carolina, PR
• Providers in Carolina, 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 Aug 22, 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.