Center Diagnostic Laboratory,Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

215 Issued in PR

Legal business name

CENTER DIAGNOSTIC LABORATORY,INC

Practice address

1251 Ave Americo Miranda
Reparto Metropolitano
San Juan, PR 00921-1619

Phone

(787) 781-2016

NPI assigned

Aug 23, 2005

Organization subpart

No

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

Authorized official

Name

Emilia Berrios, MT

Title

Supervisor

Phone

(787) 781-2016

Specialties & licenses 1

Addresses

Other identifiers 6

Locations

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639162977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1251 AVE AMERICO MIRANDA",
            "address_2": "REPARTO METROPOLITANO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009211619",
            "telephone_number": "787-781-2016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 AVE AMERICO MIRANDA",
            "address_2": "REPARTO METROPOLITANO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009211619",
            "telephone_number": "787-781-2016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER DIAGNOSTIC LABORATORY,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BERRIOS",
        "authorized_official_first_name": "EMILIA",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "787-781-2016",
        "authorized_official_credential": "MT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED HEALTH",
            "identifier": "400048",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LA CRUZ AZUL DE PR",
            "identifier": "051349",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALIC",
            "identifier": "0023",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST MEDICAL",
            "identifier": "6933",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S, INC",
            "identifier": "30608CE",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "9210021",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adyanis Coral Centeno Perez
• Daisy Centeno, PHARM.D.
• Juan Carlos Centeno, M.S.PSY.
• Juanita Centeno, R.D. ED D.
• Maria A Centeno
• Center for Advanced Surgery
• Center for Endocrine & Laparoscopic Surgery
• Central Cardio Imaging, PSC
• Central CT and Radiology Centre,Inc.
• Central Drug Dorado Corp

• 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 Aug 22, 2020; 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.