Better Choice Laboratories Corp

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

961 Issued in PR

Legal business name

BETTER CHOICE LABORATORIES CORP

Doing business as

CDT Canovanas

Practice address

Calle Corchado Final
CDT Canovanas
Canovanas, PR 00729

Phone

(787) 876-5000

NPI assigned

Sep 23, 2015

Last updated

Jul 11, 2016By 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

Diana Cecilia Mojica

Title

President

Phone

(787) 908-8118

Specialties & licenses 1

Addresses

Other names 1

• CDT Canovanas Doing business as

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carlos R Mellado, MD

  • General Practice Physician
  • Carolina, PR
  • NPI 1104847268
  NPD (past)

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

{
    "created_epoch": "1442966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468195200000",
    "number": "1629447479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2003",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "007292003",
            "telephone_number": "787-876-5000",
            "fax_number": "787-886-2203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE CORCHADO FINAL",
            "address_2": "CDT CANOVANAS",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "00729",
            "telephone_number": "787-876-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETTER CHOICE LABORATORIES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-23",
        "last_updated": "2016-07-11",
        "status": "A",
        "authorized_official_last_name": "MOJICA",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "CECILIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-908-8118"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CDT Canovanas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aida Liz Barreto Rodriguez, O.D.
• Lorenzo Berberena, OPTICIAN
• Taina Marie Berrios Rodriguez, LIC.
• Agnes Lynette Berrios, D.M.D.
• Jan L Betancourt
• Bienestar Integral Corp
• Bio-Medical Applications of Puerto Rico, Inc. (FMC Dialysis Services of Canovanas)
• Ed Bonano, OPTICO
• Fernando Bordet Villa, M.D
• Mayra E Borrero, BD

• Clinical Medical Laboratory in Canovanas, PR
• Providers in Canovanas, 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 11, 2016; 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.