Universal Medical Laboratories, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

264 Issued in PR

Legal business name

UNIVERSAL MEDICAL LABORATORIES, INC.

Practice address

Ave. Ponce de Leon Esq. Ave. Universidad
Plaza Universitaria Local #7
San Juan, PR 00925

Phone

(787) 763-3992

Fax

(787) 771-6592

NPI assigned

Sep 20, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Yolanda Colon

Title

Administrator

Phone

(787) 763-3992

Specialties & licenses 1

Addresses

Other names 1

• Universal Medical Lab Doing business as

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307923200000",
    "number": "1629064258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 362842",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009362842",
            "telephone_number": "787-763-3992",
            "fax_number": "787-771-6592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE. PONCE DE LEON ESQ. AVE. UNIVERSIDAD",
            "address_2": "PLAZA UNIVERSITARIA LOCAL #7",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00925",
            "telephone_number": "787-763-3992",
            "fax_number": "787-771-6592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL MEDICAL LABORATORIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-20",
        "last_updated": "2011-06-13",
        "status": "A",
        "authorized_official_last_name": "COLON",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-763-3992",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Universal Medical Lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Medical Laboratory in San Juan, PR
• Providers in San Juan, 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 Jun 13, 2011; 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.