Laboratorio Clinico Marbella, Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

LABORATORIO CLINICO MARBELLA, INC

Practice address

Carr PR-687 KM 0.7 Int Urb Ciudad Real
Bo. Algarrobo Sector Tortuguero 5
Vega Baja, PR 00693

Phone

(787) 855-6363

Fax

(787) 855-6363

NPI assigned

Aug 12, 2009

Last updated

Aug 12, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Nitza Imelle Ortiz-Franceschi, BA, MT(ASCP)

Title

President

Phone

(787) 486-0202

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1250035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250035200000",
    "number": "1558593467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ATLANTIC VIEW COURT",
            "address_2": "APT 101",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "00693",
            "telephone_number": "787-855-6363",
            "fax_number": "787-855-6363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR PR-687 KM 0.7 INT URB CIUDAD REAL",
            "address_2": "BO. ALGARROBO SECTOR TORTUGUERO 5",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "00693",
            "telephone_number": "787-855-6363",
            "fax_number": "787-855-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO MARBELLA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-12",
        "last_updated": "2009-08-12",
        "status": "A",
        "authorized_official_last_name": "ORTIZ-FRANCESCHI",
        "authorized_official_first_name": "NITZA",
        "authorized_official_middle_name": "IMELLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-486-0202",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BA, MT(ASCP)"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA ID",
            "identifier": "40D1100145",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laboratorio Clinico del Mar LLC
• Laboratorio Clinico del Mar LLC
• Laboratorio Clinico El Rosario Inc
• Laboratorio Clinico Figueroa P S C
• Laboratorio Clinico Heg-Marr Inc
• Laboratorio Clinico Ocean Front Inc. (Laboratorio Clinico del Mar III)
• Laboratorio Clinico Salud Y Vida LLC
• Laboratorio Clinico Stella Mikaela Inc.
• Laboratorio Clinico Y Bacteriologico Nazaret
• Laboratorio Ocean Front Inc

• Clinical Medical Laboratory in Vega Baja, PR
• Providers in Vega Baja, 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 12, 2009; 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.