Laboratorio Clinico Jardines

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

685 Issued in PR

Legal business name

LABORATORIO CLINICO JARDINES

Practice address

Be # 5 Ave Galicia
Jdnes Country Club
Carolina, PR 00983

Phone

(787) 752-4010

Fax

(787) 768-5818

NPI assigned

Jan 26, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Susana Berrios, MEDICAL TECHNOLOGIST

Title

Laboratory Director

Phone

(787) 752-4010

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Laboratorio Clinico Jardines, Inc.

  dba Lab Clinico Jardines de Country Club

  • Clinical Medical Laboratory
  • Carolina, PR
  • NPI 1932386323

  O20130904000970

  Same enrollment
• Laboratorio Clinico Policlinica Dr Salvador Ribot Ruiz

  • Clinical Medical Laboratory
  • Carolina, PR
  • NPI 1508912254

  O20130904000970

  Same enrollment

Tax ID family

Lab Clinico Jardines2 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 Clinico Jardines, Inc.

  dba Lab Clinico Jardines de Country Club

  • Clinical Medical Laboratory
  • Carolina, PR
  • NPI 1932386323
  NPD tax ID

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578619292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3278",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009843278",
            "telephone_number": "787-752-4010",
            "fax_number": "787-768-5818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BE # 5 AVE GALICIA",
            "address_2": "JDNES COUNTRY CLUB",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00983",
            "telephone_number": "787-752-4010",
            "fax_number": "787-768-5818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO JARDINES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BERRIOS",
        "authorized_official_first_name": "SUSANA",
        "authorized_official_title_or_position": "LABORATORY DIRECTOR",
        "authorized_official_telephone_number": "787-752-4010",
        "authorized_official_credential": "MEDICAL TECHNOLOGIST"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laboratorio Clinico Bio Tech Inc
• Laboratorio Clinico DCN Corp (Laboratorio Clinico DCN I)
• Laboratorio Clinico Doctor Center, Inc.
• Laboratorio Clinico Francisco Landron Inc.
• Laboratorio Clinico Iturregui, Inc
• Laboratorio Clinico Jardines II
• Laboratorio Clinico Jardines, Inc. (Lab Clinico Jardines de Country Club)
• Laboratorio Clinico Los Colobos, Inc
• Laboratorio Clinico Medico Carolina Inc
• Laboratorio Clinico Metropolis

• Clinical Medical Laboratory in Carolina, PR
• Providers in Carolina, 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 Aug 22, 2020; 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.