South Caribbean Laboratory Corp

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

SOUTH CARIBBEAN LABORATORY CORP

Doing business as

Laboratorio Clinico Ponceno

Practice address

Carr 2 KM 225.8
Local 26B
Ponce, PR 00732

Phone

(787) 486-4554

Fax

(787) 843-9000

NPI assigned

Sep 19, 2008

Last updated

Nov 13, 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

Carlos R Colon

Title

Owner

Phone

(787) 486-4554

Specialties & licenses 1

Addresses

Other names 1

• Laboratorio Clinico Ponceno Doing business as

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": "1221782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605225600000",
    "number": "1609026293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "QUINTAS DE MONSERRATE CALLE 2 D-7",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00730",
            "telephone_number": "787-486-4554",
            "fax_number": "787-259-5852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 2 KM 225.8",
            "address_2": "LOCAL 26B",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00732",
            "telephone_number": "787-486-4554",
            "fax_number": "787-843-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH CARIBBEAN LABORATORY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-19",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-12",
        "status": "A",
        "authorized_official_last_name": "COLON",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-486-4554"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laboratorio Clinico Ponceno",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Laboratorio Clinico Ponceno",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Frances L Sotomayor Rodriguez, DO
• Gabriela Sotomayor
• South Ambulances Transport Inc CSP
• South Cancer Center
• South Cancer Group PSC
• South Kidney Care LLC
• South Pearl Medical Corp
• South Prime OB-GYN LLC
• South Renal Care, P.S.C
• South West Health Corp (Metropolitano de Ponce)

• Clinical Medical Laboratory in Ponce, PR
• Providers in Ponce, 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 13, 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.