Laboratorio Vascular Clinico Inc

Primary specialty

Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X

Legal business name

LABORATORIO VASCULAR CLINICO INC

Practice address

716 Ponce de Leon Ave.
Hato Rey, PR 00918-4510

Phone

(787) 758-7500

Fax

(787) 758-0975

NPI assigned

Jul 7, 2005

Organization subpart

No

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

Authorized official

Name

Guillermo Acaron Souffront, MDNPI 1205832144

Title

Medical Director

Phone

(787) 758-7500

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Guillermo Acaron Souffront, M.D.

  • Surgery Physician
  • San Juan, PR
  • NPI 1205832144
  Medicare reassignment NPD Authorized official
• Eduardo Jose Labat, MD

  • Diagnostic Radiology Physician
  • San Juan, PR
  • NPI 1831340926
  Medicare reassignment NPD
• William Bracer, M.D.

  • Surgery Physician
  • Ponce, PR
  • NPI 1649276569
  NPD (past)

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1578560314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 194478",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009194814",
            "telephone_number": "787-758-7500",
            "fax_number": "787-758-0975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 PONCE DE LEON AVE.",
            "city": "HATO REY",
            "state": "PR",
            "postal_code": "009184510",
            "telephone_number": "787-758-7500",
            "fax_number": "787-758-0975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO VASCULAR CLINICO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2022-07-21",
        "certification_date": "2021-04-20",
        "status": "A",
        "authorized_official_last_name": "ACARON SOUFFRONT",
        "authorized_official_first_name": "GUILLERMO",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "787-758-7500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085U0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "PR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose Perez Fonseca Inc.
• KM Dental, C.S.P.
• Ralph Andrew Kreil, M.D.
• Laboratorio Clinico Platzer Inc
• Laboratorio Clinico Ramvad Inc
• Angela Marie Laboy Figueroa
• Las Americas Ambulatory Surgical Center
• Las Americas Pain Interventional Center PSC
• Pablo Laureano Marti Sr., MD
• Jessica R Lebron, MHSN, RD, LDN

• Diagnostic Ultrasound Physician in Hato Rey, PR
• Providers in Hato Rey, PR by specialty
• Diagnostic Ultrasound Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.