NPIMap

Organization Active NPI

Laboratorio Clinico Doramar Plaza de Dorado Inc

  • Clinical Medical Laboratory
  • Dorado, PR
National Provider Identifier
1558779926
Registry record updated Jun 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
1314 Issued in PR
Legal business name
LABORATORIO CLINICO DORAMAR PLAZA DE DORADO INC
Practice address
Carr.PR-693, Int. Carr.PR-659, Barrio Maguayo
Centro Comercial Doramar Plaza
Dorado, PR 00646
Phone
(787) 717-7113
Fax
(787) 799-8215
NPI assigned
Jul 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2019

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

Authorized official

Name
Jolly Ortiz
Title
Director
Phone
(787) 614-2131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 1314 PR Primary

Addresses

Primary practice location

Carr.PR-693, Int. Carr.PR-659, Barrio Maguayo
Centro Comercial Doramar Plaza
Dorado, PR 00646

Mailing address

590 Camino de Cartagena
Dorado, PR 00646-3660
Phone (787) 614-2131

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1406592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561420800000",
    "number": "1558779926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 CAMINO DE CARTAGENA",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006463660",
            "telephone_number": "787-614-2131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR.PR-693, INT. CARR.PR-659, BARRIO MAGUAYO",
            "address_2": "CENTRO COMERCIAL DORAMAR PLAZA",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "00646",
            "telephone_number": "787-717-7113",
            "fax_number": "787-799-8215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO DORAMAR PLAZA DE DORADO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-29",
        "last_updated": "2019-06-25",
        "status": "A",
        "authorized_official_last_name": "ORTIZ",
        "authorized_official_first_name": "JOLLY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "787-614-2131"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "1314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dorado, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2019; 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.