Organization Active NPI

Laboratorio Clinico Expreso

  • Clinical Medical Laboratory
  • Canovanas, PR
National Provider Identifier
1598159295
Registry record updated Mar 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
1255 Issued in PR
Legal business name
LABORATORIO CLINICO EXPRESO
Practice address
Road PR-188 Street 22 Barrio Canovanas
Comunidad San Isidro Local 3
Canovanas, PR 00729
Phone
(787) 256-3419
Fax
(787) 256-3419
NPI assigned
Mar 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2015

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

Authorized official

Name
Mrs. Carmen L Velazquez
Title
Manager
Phone
(787) 256-3419

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 1255 PR Primary

Addresses

Primary practice location

Road PR-188 Street 22 Barrio Canovanas
Comunidad San Isidro Local 3
Canovanas, PR 00729

Mailing address

PO Box 1182
Canovanas, PR 00729-1182
Phone (787) 256-3419

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1426809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426809600000",
    "number": "1598159295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1182",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "007291182",
            "telephone_number": "787-256-3419",
            "fax_number": "787-256-3419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ROAD PR-188 STREET 22 BARRIO CANOVANAS",
            "address_2": "COMUNIDAD SAN ISIDRO LOCAL 3",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "00729",
            "telephone_number": "787-256-3419",
            "fax_number": "787-256-3419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO EXPRESO",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-20",
        "last_updated": "2015-03-20",
        "status": "A",
        "authorized_official_last_name": "VELAZQUEZ",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "787-256-3419",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "1255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.