Active NPI
Luis Alonso & Co Inc
- Clinical Medical Laboratory
- Ponce, PR
National Provider Identifier
1639127723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 751
- Legal business name
- LUIS ALONSO & CO INC
- Doing business as
- Laboratorio Clinico Santa Maria
- Practice address
- Calle Ferrocarril Santa Maria Medical Building
Suite 103
Ponce, PR 00731 - Phone
- (787) 844-4774
- Fax
- (787) 813-5781
- NPI assigned
- May 4, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Agnes M Cintron, MT
- Title
- Director
- Phone
- (787) 844-4774
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 751 | PR | Primary |
Addresses
Primary practice location
Calle Ferrocarril Santa Maria Medical Building
Suite 103
Ponce, PR 00731
Mailing address
Calle Ferrocarril Santa Maria Medical Building
Suite 103
Ponce, PR 00731
Phone (787) 844-4774
Other names 1
- Laboratorio Clinico Santa Maria
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20081006000009 | PR | Part B Supplier - Independent Clinical Laboratory | 5193893154 | Practice locations: Ponce, PR |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1228435200000",
"number": "1639127723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CALLE FERROCARRIL SANTA MARIA MEDICAL BUILDING",
"address_2": "SUITE 103",
"city": "PONCE",
"state": "PR",
"postal_code": "00731",
"telephone_number": "787-844-4774",
"fax_number": "787-813-5781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE FERROCARRIL SANTA MARIA MEDICAL BUILDING",
"address_2": "SUITE 103",
"city": "PONCE",
"state": "PR",
"postal_code": "00731",
"telephone_number": "787-844-4774",
"fax_number": "787-813-5781"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUIS ALONSO & CO INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-04",
"last_updated": "2008-12-05",
"status": "A",
"authorized_official_last_name": "CINTRON",
"authorized_official_first_name": "AGNES",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "787-844-4774",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MT"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "PR",
"license": "751",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Laboratorio Clinico Santa Maria",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Ponce, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2008; 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.