Laboratorio Clinico Plaza Carolina Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

871 Issued in PR

Legal business name

LABORATORIO CLINICO PLAZA CAROLINA INC

Practice address

Ave. Fragoso & Expreso Loiza
Office #12 3ER Nivel Plaza Carolina Mall
Carolina, PR 00988

Phone

(787) 768-0070

Fax

(787) 768-0070

NPI assigned

Apr 21, 2006

Last updated

Feb 9, 2024By 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

Mr. Edgardo Genaro Pineiro Sr., MD

Title

Secretary (Owner)

Phone

(787) 616-7253

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707436800000",
    "number": "1639135502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9741",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009889741",
            "telephone_number": "787-768-0070",
            "fax_number": "787-768-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE. FRAGOSO & EXPRESO LOIZA",
            "address_2": "OFFICE #12 3ER NIVEL PLAZA CAROLINA MALL",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00988",
            "telephone_number": "787-768-0070",
            "fax_number": "787-768-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO PLAZA CAROLINA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-21",
        "last_updated": "2024-02-09",
        "status": "A",
        "authorized_official_last_name": "PINEIRO",
        "authorized_official_first_name": "EDGARDO",
        "authorized_official_middle_name": "GENARO",
        "authorized_official_title_or_position": "SECRETARY (OWNER)",
        "authorized_official_telephone_number": "787-616-7253",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MMM",
            "identifier": "800054",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSS",
            "identifier": "31099",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laboratorio Clinico Jardines, Inc. (Lab Clinico Jardines de Country Club)
• Laboratorio Clinico Los Colobos, Inc
• Laboratorio Clinico Medico Carolina Inc
• Laboratorio Clinico Metropolis
• Laboratorio Clinico Parque Escorial
• Laboratorio Clinico Policlinica Dr Salvador Ribot Ruiz
• Laboratorio Clinico Risan
• Laboratorio Clinico Sunrise Bay Inc
• Laboratorio Pulmonar Carolina Inc
• Jose Antonio Lacen, PSYD.

• Clinical Medical Laboratory in Carolina, PR
• Providers in Carolina, 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 Feb 9, 2024; 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.