Laboratorio Clinico Bella Vista

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

796 Issued in PR

Legal business name

LABORATORIO CLINICO BELLA VISTA

Practice address

Local 18a BLD. #4
Centro Comercial Bella Vista
Bayamon, PR 00957

Phone

(787) 797-1190

Fax

(787) 797-1190

NPI assigned

Dec 2, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Luz Zambrana Fuentes, MT

Title

Owner

Phone

(787) 797-1190

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

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

{
    "created_epoch": "1165017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415923200000",
    "number": "1598833931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "LOCAL 18A BLD. #4",
            "address_2": "CENTRO COMERCIAL BELLA VISTA",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00957",
            "telephone_number": "787-797-1190",
            "fax_number": "787-797-1190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LOCAL 18A BLD. #4",
            "address_2": "CENTRO COMERCIAL BELLA VISTA",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00957",
            "telephone_number": "787-797-1190",
            "fax_number": "787-797-1190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO BELLA VISTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-02",
        "last_updated": "2014-11-14",
        "status": "A",
        "authorized_official_last_name": "FUENTES",
        "authorized_official_first_name": "LUZ",
        "authorized_official_middle_name": "ZAMBRANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-797-1190",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Laboratorio Clinico Garnier, LLC

• Clinical Medical Laboratory in Bayamon, PR
• Providers in Bayamon, 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 Nov 14, 2014; 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.