NPIMap

Organization Active NPI

Laboratorio Clinico Puerto Rico Holding,LLC

  • Clinical Medical Laboratory
  • San Juan, PR
National Provider Identifier
1528490752
Registry record updated Jul 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
661 Issued in PR
Legal business name
LABORATORIO CLINICO PUERTO RICO HOLDING,LLC
Practice address
1747 Carr 844, Purple Tree,Cupey
San Juan, PR 00926-4446
Phone
(787) 748-4848
Fax
(787) 748-4008
NPI assigned
Jul 30, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2013

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

Authorized official

Name
Gerardo Marquez - Veglio
Title
Executive Vicepresident
Phone
(787) 748-4848

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 661 PR Primary

Addresses

Primary practice location

1747 Carr 844, Purple Tree,Cupey
San Juan, PR 00926-4446

Mailing address

PO Box 367396
San Juan, PR 00936-7396
Phone (787) 748-4848

National Provider Directory

National Provider Directory

Locations

1747 Carr 844
San Juan, PR 00926
Phone (787) 748-4848

NPI Registry JSON

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

{
    "created_epoch": "1375142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375142400000",
    "number": "1528490752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 367396",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009367396",
            "telephone_number": "787-748-4848",
            "fax_number": "787-748-4008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1747 CARR 844, PURPLE TREE,CUPEY",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009264446",
            "telephone_number": "787-748-4848",
            "fax_number": "787-748-4008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO PUERTO RICO HOLDING,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-30",
        "last_updated": "2013-07-30",
        "status": "A",
        "authorized_official_last_name": "MARQUEZ - VEGLIO",
        "authorized_official_first_name": "GERARDO",
        "authorized_official_title_or_position": "EXECUTIVE VICEPRESIDENT",
        "authorized_official_telephone_number": "787-748-4848"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.