Organization Active NPI

Laboratorio Clinico Chegar Inc

  • Clinical Medical Laboratory
  • Canovanas, PR
National Provider Identifier
1568552610
Registry record updated Apr 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
252 Issued in PR
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, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2013

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)CodeLicenseStatePrimary
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 Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 112 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.

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

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.

Verify at the official NPI Registry.