Waxali Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

594 Issued in PR

Legal business name

WAXALI INC

Doing business as

Laboratorio Clinico Isla Centro Naranjito

Practice address

# 43 Calle Ignacio Morales Acosta
Naranjito, PR 00719-8771

Phone

(787) 869-9585

Fax

(787) 869-0907

NPI assigned

Oct 13, 2006

Organization subpart

Yes

Parent organization

WAXALI INCAs reported in NPPES

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

Authorized official

Name

Mr. Jose L Collazo Rosado, MT

Title

President Owner

Phone

(787) 869-9585

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Laboratorio Clinico Isla Centro Naranjito Doing business as

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

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

• Waxali Inc

  dba Laboratorio Clinico Isla Centro Toa Alta

  • Clinical Medical Laboratory
  • Toa Alta, PR
  • NPI 1154603546

  O20070612000121

  Same enrollment
• Waxali Inc

  dba Laboratorio Clinico Isla Centro Barranquitas

  • Clinical Medical Laboratory
  • Barranquitas, PR
  • NPI 1609184225

  O20070612000121

  Same enrollment
• Waxali Inc

  dba Laboratorio Clinico Isla Centro Cedro Arriba

  • Clinical Medical Laboratory
  • Naranjito, PR
  • NPI 1801994900

  O20070612000121

  Same enrollment

Tax ID family

Waxali Inc4 organizations share this tax ID, including this one

Part of

Waxali Inc

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Waxali Inc

  dba Laboratorio Clinico Isla Centro Toa Alta

  • Clinical Medical Laboratory
  • Toa Alta, PR
  • NPI 1154603546
  NPD tax ID
• Waxali Inc

  dba Laboratorio Clinico Isla Centro Barranquitas

  • Clinical Medical Laboratory
  • Barranquitas, PR
  • NPI 1609184225
  NPD tax ID
• Waxali Inc

  dba Laboratorio Clinico Isla Centro Cedro Arriba

  • Clinical Medical Laboratory
  • Naranjito, PR
  • NPI 1801994900
  NPD tax ID

Locations

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397174400000",
    "number": "1508956319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 72 BOX 3954",
            "city": "NARANJITO",
            "state": "PR",
            "postal_code": "007198771",
            "telephone_number": "787-869-9585",
            "fax_number": "787-869-0907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "# 43 CALLE IGNACIO MORALES ACOSTA",
            "city": "NARANJITO",
            "state": "PR",
            "postal_code": "007198771",
            "telephone_number": "787-869-9585",
            "fax_number": "787-869-0907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAXALI INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WAXALI INC",
        "enumeration_date": "2006-10-13",
        "last_updated": "2014-04-11",
        "status": "A",
        "authorized_official_last_name": "COLLAZO ROSADO",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "787-869-9585",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "594",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE",
            "identifier": "594",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "40D0658159",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laboratorio Clinico Isla Centro Naranjito",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Victor a Rivera Inc (Farmacia San Andres)
• Victor a. Rivera, Inc. (Farmacia San Miguel)
• Victor Vega Morales LLC
• Carla S Vilches, DC, OTR/L
• Walgreen Co (Walgreens #00811)
• Waxali Inc (Laboratorio Clinico Isla Centro Cedro Arriba)
• Jalixa E Zayas Rivera
• Eloisa Zayas Sr., BA
• Ivette Zayas

• Clinical Medical Laboratory in Naranjito, PR
• Providers in Naranjito, 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 Apr 11, 2014; 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.