Laboratorio Clinico Y Bacteriologico Rodriguez Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

LABORATORIO CLINICO Y BACTERIOLOGICO RODRIGUEZ INC

Doing business as

Laboratorio Clinico Rodriguez

Practice address

100 Callie Jose C Barbosa
Las Piedras, PR 00771-3927

Phone

(787) 733-1404

Fax

(787) 733-7788

NPI assigned

Dec 22, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Reina M Hernandez, MT

Title

Director

Phone

(787) 733-1404

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Laboratorio Clinico Rodriguez Doing business as

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Laboratorio Clnico Y Bacteriologico Rodriguez Inc

  dba Laboratorio Clinico Pitahaya

  • Clinical Medical Laboratory
  • Humacao, PR
  • NPI 1639615917

  0547225757

  Same PAC ID

Tax ID family

Lab Clnco Y Bact Rodriguez2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Laboratorio Clnico Y Bacteriologico Rodriguez Inc

  dba Laboratorio Clinico Pitahaya

  • Clinical Medical Laboratory
  • Humacao, PR
  • NPI 1639615917
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Laboratorio Clnico Y Bacteriologico Rodriguez Inc

  dba Laboratorio Clinico Pitahaya

  • Clinical Medical Laboratory
  • Humacao, PR
  • NPI 1639615917
  NPPES parent name

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433116800000",
    "number": "1568448355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CALLIE JOSE C BARBOSA",
            "city": "LAS PIEDRAS",
            "state": "PR",
            "postal_code": "007713927",
            "telephone_number": "787-733-1404",
            "fax_number": "787-733-7788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CALLIE JOSE C BARBOSA",
            "city": "LAS PIEDRAS",
            "state": "PR",
            "postal_code": "007713927",
            "telephone_number": "787-733-1404",
            "fax_number": "787-733-7788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO Y BACTERIOLOGICO RODRIGUEZ INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-22",
        "last_updated": "2015-06-01",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "REINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "787-733-1404",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "668",
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PR HEALTH DPT LICENSE",
            "identifier": "668",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laboratorio Clinico Rodriguez",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Oscar Kidd, MD
• Laboratorio Clinico April Gardens Inc
• Laboratorio Clinico del Este
• Laboratorio Clinico Las Piedras Inc (Laboratorio Clinico-CDT- Centro medico Las Piedras)
• Laboratorio Clinico San Cristobal Inc
• Las Piedras Dental Group P.S.C.
• Las Piedras Medical Equipment
• Amanda Raquel Lebron, NP
• Maria Lebron
• Isander Loiz, D.M.D.

• Clinical Medical Laboratory in Las Piedras, PR
• Providers in Las Piedras, 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 Jun 1, 2015; 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.