NPIMap

Organization Active NPI

MB Clinical Laboratories Corp.

Doing business as Laboratorio Clinico Villa Ana Aguas Buenas lll

  • Clinical Medical Laboratory
  • Aguas Buenas, PR
National Provider Identifier
1639285091
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
888 Issued in PR
Legal business name
MB CLINICAL LABORATORIES CORP.
Doing business as
Laboratorio Clinico Villa Ana Aguas Buenas lll
Practice address
Carr 174 KM 12.1
Barrio Mulas
Aguas Buenas, PR 00703
Phone
(787) 732-0210
Fax
(787) 732-0210
NPI assigned
Aug 21, 2006
Last updated
Mar 4, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
MB CLINICAL LABORATORIES CORP.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Authorized official

Name
Mrs. Jose Carlos Flores, MBA, BS, CT
Title
President
Phone
(787) 475-8731

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 888 PR Primary

Addresses

Primary practice location

Carr 174 KM 12.1
Barrio Mulas
Aguas Buenas, PR 00703

Mailing address

PO Box 476
Juncos, PR 00777-0476
Phone (787) 734-8126

Other names 1

  • Laboratorio Clinico Villa Ana Aguas Buenas lll Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170321000553 PR Part B Supplier - Independent Clinical Laboratory 4688959398 8 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Naguabo, PR; Aguas Buenas, PR; Juncos, PR; Humacao, PR

Other NPIs on the same Medicare enrollment 8

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
MB Clinical Laboratories Corp10 organizations share this tax ID, including this one
Part of
MB Clinical Laboratories Corp

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772582400000",
    "number": "1639285091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 476",
            "city": "JUNCOS",
            "state": "PR",
            "postal_code": "007770476",
            "telephone_number": "787-734-8126",
            "fax_number": "787-734-1927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 174 KM 12.1",
            "address_2": "BARRIO MULAS",
            "city": "AGUAS BUENAS",
            "state": "PR",
            "postal_code": "00703",
            "telephone_number": "787-732-0210",
            "fax_number": "787-732-0210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MB CLINICAL LABORATORIES CORP.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MB CLINICAL LABORATORIES CORP.",
        "enumeration_date": "2006-08-21",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "CARLOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-475-8731",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MBA, BS, CT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laboratorio Clinico Villa Ana Aguas Buenas lll",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aguas Buenas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; 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.