NPIMap

Organization Active NPI

Laboratorio Clinico Borinquen-San Francisco

  • Clinical Medical Laboratory
  • San Juan, PR
National Provider Identifier
1598874315
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
664 Issued in PR
Legal business name
LABORATORIO CLINICO BORINQUEN-SAN FRANCISCO
Practice address
201 Ave de Diego
Oficina 6
San Juan, PR 00927-5815
Phone
(787) 773-6338
Fax
(787) 763-3545
NPI assigned
Aug 29, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Kimberly Jean Whitlock
Title
Director
Phone
(787) 744-0330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 664 PR Primary

Addresses

Primary practice location

201 Ave de Diego
Oficina 6
San Juan, PR 00927-5815

Mailing address

2 Calle Baldorioty
Caguas, PR 00725-2606
Phone (787) 744-0330

Other identifiers 1

IdentifierTypeStateIssuer
664OtherPRLICENSE

National Provider Directory

National Provider Directory
Tax ID family
Laboratorio Clinico Bairoa6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

201 Ave de Diego
Ste 6
San Juan, PR 00927
Phone (787) 773-6338

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598874315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CALLE BALDORIOTY",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007252606",
            "telephone_number": "787-744-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 AVE DE DIEGO",
            "address_2": "OFICINA 6",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009275815",
            "telephone_number": "787-773-6338",
            "fax_number": "787-763-3545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO BORINQUEN-SAN FRANCISCO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WHITLOCK",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "787-744-0330",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "664",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "664",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.