Active NPI
Laboratorio Clinico Chegar Inc
- Clinical Medical Laboratory
- Canovanas, PR
National Provider Identifier
1568552610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 252
- Legal business name
- LABORATORIO CLINICO CHEGAR INC
- Practice address
- 71 Calle Autonomia
Canovanas, PR 00729 - Phone
- (787) 256-6570
- Fax
- (787) 876-4770
- NPI assigned
- Oct 12, 2006
- Last updated
- Apr 24, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Carmen J Cepeda, B.S.,MT.,AS.CP.
- Title
- Directora
- Phone
- (787) 809-4697
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 252 | PR | Primary |
Addresses
Primary practice location
71 Calle Autonomia
Canovanas, PR 00729
Mailing address
71 Calle Autonomia
Canovanas, PR 00729-3288
Phone (787) 256-6570
Other names 1
- LAB CHEGAR 11
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130830000458 | PR | Part B Supplier - Independent Clinical Laboratory | 6901908763 | Practice locations: Canovanas, PR |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider Directory- Tax ID family
- Lab Chegar 11
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Medical Laboratory
- Rio Grande, PR
- NPI 1598855629
Locations
71 Calle Autonomia
Canovanas, PR 00729
Phone (787) 256-6570
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1366761600000",
"number": "1568552610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "71 CALLE AUTONOMIA",
"city": "CANOVANAS",
"state": "PR",
"postal_code": "007293288",
"telephone_number": "787-256-6570",
"fax_number": "787-876-4770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "71 CALLE AUTONOMIA",
"city": "CANOVANAS",
"state": "PR",
"postal_code": "00729",
"telephone_number": "787-256-6570",
"fax_number": "787-876-4770"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LABORATORIO CLINICO CHEGAR INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-12",
"last_updated": "2013-04-24",
"status": "A",
"authorized_official_last_name": "CEPEDA",
"authorized_official_first_name": "CARMEN",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "DIRECTORA",
"authorized_official_telephone_number": "787-809-4697",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "B.S.,MT.,AS.CP."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "PR",
"license": "252",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "LAB CHEGAR 11",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Canovanas, PR
- KR Canovanas (Farmacia Campo Rico)
- Kystal Ambulance Corporation
- Laboratorio Clinico Bio Tech III Corporacion
- Laboratorio Clinico Canovanas
- Laboratorio Clinico Canovanas Inc (Laboratorio Clinico Canovanas)
- Laboratorio Clinico Chegar Inc
- Laboratorio Clinico Expreso
- Laboratorio Clinico Hnos Mikasobe,LLC
- Laboratorio Clinico Loiza Valley Inc.
- Laboratorio Clinico Oscar Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2013; 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.