Laboratorio Clinico Rincon PSC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

397 Issued in PR

Legal business name

LABORATORIO CLINICO RINCON PSC

Practice address

Calle Munoz Rivera 53 Oeste
Rincon, PR 00677

Phone

(787) 823-4527

Fax

(787) 823-4527

NPI assigned

Sep 14, 2005

Organization subpart

No

Name

Mrs. Aurea E Cruz, MT

Title

Owner

Phone

(787) 823-4527

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 1, 2016.

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464739200000",
    "number": "1639164841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE MUNOZ RIVERA 53 OESTE",
            "city": "RINCON",
            "state": "PR",
            "postal_code": "00677",
            "telephone_number": "787-823-4527",
            "fax_number": "787-823-4527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE MUNOZ RIVERA 53 OESTE",
            "city": "RINCON",
            "state": "PR",
            "postal_code": "00677",
            "telephone_number": "787-823-4527",
            "fax_number": "787-823-4527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO RINCON PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-14",
        "last_updated": "2016-06-01",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "AUREA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-823-4527",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luis A Hernandez
• HJ Asociados
• Identity Health Group Inc
• Immanis Dignus LLC
• Laboratorio Clinico CDT de Rincon
• Astrid Carolina Lespier Perez, PSYCHOLOGY INTERN
• Caroline Y Lopez Firpo, RDN
• Richard Anthony Lopez-Soto
• Rafael Eduardo Lopez, DC
• M & L Ambulance

• All providers in Rincon, PR
• Clinical Medical Laboratory in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.