I H S Corporation

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

40D1107086 Issued in PR

Legal business name

I H S CORPORATION

Practice address

Carretera Principal 865 KM 1.3
P 238 Bo. Campanillas
Toa Baja, PR 00949

Phone

(787) 951-8768

NPI assigned

Dec 28, 2009

Organization subpart

No

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

Authorized official

Name

Salomon A Rodriguez Ortiz

Title

President

Phone

(787) 794-3939

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Laboratorio Clinico Media Luna Other name

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": "1261958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693180800000",
    "number": "1609106566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE PETIROJO 784",
            "address_2": "MONTE BELLO",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006463628",
            "telephone_number": "787-951-8768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA PRINCIPAL 865 KM 1.3",
            "address_2": "P 238 BO. CAMPANILLAS",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "00949",
            "telephone_number": "787-951-8768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I H S CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-28",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ ORTIZ",
        "authorized_official_first_name": "SALOMON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-794-3939"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "40D1107086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA LABORATORY PROGRAM",
            "identifier": "40D1107086",
            "state": "PR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "039130900",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laboratorio Clinico Media Luna",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Laboratorio Clinico Media Luna",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Clinical Medical Laboratory in Toa Baja, PR
• Providers in Toa Baja, 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 Aug 28, 2023; 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.