Waxali Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

232 Issued in PR

Legal business name

WAXALI INC

Doing business as

Laboratorio Clinico Isla Centro Barranquitas

Practice address

17 Calle Munoz Rivera
Suite 1
Barranquitas, PR 00794-1755

Phone

(787) 857-2246

NPI assigned

Sep 16, 2010

Organization subpart

Yes

Parent organization

WAXALI INCAs reported in NPPES

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

Authorized official

Name

Mr. Jose L Collazo Rosado, MT

Title

President Owner

Phone

(787) 869-1111

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Laboratorio Clinico Isla Centro Barranquitas Doing business as

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Waxali Inc

  dba Laboratorio Clinico Isla Centro Toa Alta

  • Clinical Medical Laboratory
  • Toa Alta, PR
  • NPI 1154603546

  O20070612000121

  Same enrollment
• Waxali Inc

  dba Laboratorio Clinico Isla Centro Naranjito

  • Clinical Medical Laboratory
  • Naranjito, PR
  • NPI 1508956319

  O20070612000121

  Same enrollment
• Waxali Inc

  dba Laboratorio Clinico Isla Centro Cedro Arriba

  • Clinical Medical Laboratory
  • Naranjito, PR
  • NPI 1801994900

  O20070612000121

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Waxali Inc4 organizations share this tax ID, including this one

Part of

Waxali Inc

Other organizations with this tax ID 3

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

• Waxali Inc

  dba Laboratorio Clinico Isla Centro Toa Alta

  • Clinical Medical Laboratory
  • Toa Alta, PR
  • NPI 1154603546
  NPD tax ID
• Waxali Inc

  dba Laboratorio Clinico Isla Centro Naranjito

  • Clinical Medical Laboratory
  • Naranjito, PR
  • NPI 1508956319
  NPD tax ID
• Waxali Inc

  dba Laboratorio Clinico Isla Centro Cedro Arriba

  • Clinical Medical Laboratory
  • Naranjito, PR
  • NPI 1801994900
  NPD tax ID

Locations

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

{
    "created_epoch": "1284595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285200000000",
    "number": "1609184225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 72 BOX 3954",
            "city": "NARANJITO",
            "state": "PR",
            "postal_code": "007198771",
            "telephone_number": "787-869-1111",
            "fax_number": "787-869-2318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 CALLE MUNOZ RIVERA",
            "address_2": "SUITE 1",
            "city": "BARRANQUITAS",
            "state": "PR",
            "postal_code": "007941755",
            "telephone_number": "787-857-2246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAXALI INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WAXALI INC",
        "enumeration_date": "2010-09-16",
        "last_updated": "2010-09-23",
        "status": "A",
        "authorized_official_last_name": "COLLAZO ROSADO",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "787-869-1111",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CNC",
            "identifier": "10-113",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENCE",
            "identifier": "232",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "40D0667627",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laboratorio Clinico Isla Centro Barranquitas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Kiara Zayas Cintron, MSW
• Iris E. Zayas, AX

• Clinical Medical Laboratory in Barranquitas, PR
• Providers in Barranquitas, 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 Sep 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.