Laboratorio San Rafael Quebradillas, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

LABORATORIO SAN RAFAEL QUEBRADILLAS, INC.

Doing business as

LABORATORIO CLINICO MONROIG

Practice address

113 Francisco Avila
Quebradillas, PR 00678

Phone

(787) 895-3076

Fax

(787) 895-3076

NPI assigned

Jun 28, 2017

Organization subpart

Yes

Parent organization

LABORATORIO SAN RAFAEL QUEBRADILLAS, INCAs reported in NPPES

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

Authorized official

Name

Yolanda Arias, MT

Title

Owner

Phone

(787) 895-3076

Specialties & licenses 1

Addresses

Other names 1

• LABORATORIO CLINICO MONROIG Doing business as

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

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

• Laboratorio San Rafael Quebradillas, Inc.

  • Clinical Medical Laboratory
  • Quebradillas, PR
  • NPI 1093051393

  O20150331000828

  Same enrollment

Tax ID family

Laboratorio San Rafael Quebradillas Inc2 organizations share this tax ID, including this one

Part of

Laboratorio San Rafael Quebradillas Inc

Other organizations with this tax ID 1

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

• Laboratorio San Rafael Quebradillas, Inc.

  • Clinical Medical Laboratory
  • Quebradillas, PR
  • NPI 1093051393
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Laboratorio San Rafael Quebradillas, Inc.

  • Clinical Medical Laboratory
  • Quebradillas, PR
  • NPI 1093051393
  NPPES parent name

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

{
    "created_epoch": "1498608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1609397900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 CALLE FRANCISCO AVILA",
            "city": "QUEBRADILLAS",
            "state": "PR",
            "postal_code": "006780000",
            "telephone_number": "787-895-2333",
            "fax_number": "787-895-2333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 FRANCISCO AVILA",
            "city": "QUEBRADILLAS",
            "state": "PR",
            "postal_code": "00678",
            "telephone_number": "787-895-3076",
            "fax_number": "787-895-3076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO SAN RAFAEL QUEBRADILLAS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LABORATORIO SAN RAFAEL QUEBRADILLAS, INC",
        "enumeration_date": "2017-06-28",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ARIAS",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-895-3076",
        "authorized_official_credential": "MT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LABORATORIO CLINICO MONROIG",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LABORATORIO CLINICO MONROIG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laboratorio Clinico Shaddai PSC
• Laboratorio Clinico Shalom Corporation
• Laboratorio Clinico Sofia LLC
• Laboratorio San Rafael
• Laboratorio San Rafael Quebradillas, Inc.
• Lcsa LLC
• Le Vista Corp.
• Zaimary Liciaga Lopez, PSYD
• Life Alert Ambulance Inc
• Deborah Lopez Nieves, MD

• Clinical Medical Laboratory in Quebradillas, PR
• Providers in Quebradillas, 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 Jul 21, 2022; 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.