Laboratorio Clinico Tierra Santa Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

1021 Issued in PR

Legal business name

LABORATORIO CLINICO TIERRA SANTA INC

Practice address

507 Carr 149
Bo Tierra Santa
Villalba, PR 00766

Phone

(787) 847-6948

Fax

(787) 847-6948

NPI assigned

Dec 20, 2005

Last updated

Apr 26, 2016By 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

Mr. Domingo Figueroa Echeuarria, LDO

Title

President

Phone

(787) 847-6948

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461628800000",
    "number": "1598741753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 BO TIERRA SANTA # 149",
            "city": "VILLALBA",
            "state": "PR",
            "postal_code": "007662377",
            "telephone_number": "787-847-6948",
            "fax_number": "787-847-6948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 CARR 149",
            "address_2": "BO TIERRA SANTA",
            "city": "VILLALBA",
            "state": "PR",
            "postal_code": "00766",
            "telephone_number": "787-847-6948",
            "fax_number": "787-847-6948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO TIERRA SANTA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-20",
        "last_updated": "2016-04-26",
        "status": "A",
        "authorized_official_last_name": "FIGUEROA ECHEUARRIA",
        "authorized_official_first_name": "DOMINGO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-847-6948",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LDO"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "1021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martin Hernandez Sr., MD
• In Salud, Inc
• Institucionparaancianoselparaisodevillalba
• Internal Medicine and Primary Care PSC
• J Medical Care LLC
• Laboratorio Sagrada Familia Corp.
• Carmen J. Laboy, D.M.D.
• Luis Rafael Laboy, R.PH.
• Valeria Marie Lopez de Victoria Santiago, PHARMD
• Jacqueline Lopez Melendez, RPH

• Clinical Medical Laboratory in Villalba, PR
• Providers in Villalba, 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 Apr 26, 2016; 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.