Organization Active NPI

Laboratorio Clinico Metropolis

  • Clinical Medical Laboratory
  • Carolina, PR
National Provider Identifier
1639301427
Registry record updated Nov 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
LABORATORIO CLINICO METROPOLIS
Practice address
Carretera 860 KM 0.8
Barrio Martin Gonzalez
Carolina, PR 00957
Phone
(787) 671-2699
NPI assigned
Aug 13, 2009
Last updated
Nov 21, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2020

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

Authorized official

Name
Ms. Concepcion Romero, M.T. (ASCP)
Title
Owner
Phone
(787) 564-1495

Specialties & licenses 1

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

Addresses

Primary practice location

Carretera 860 KM 0.8
Barrio Martin Gonzalez
Carolina, PR 00957

Mailing address

Urb. Primavera
Calle Paseo de Orquideas #68
Trujillo Alto, PR 00976
Phone (787) 564-1495

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100308000757 PR Part B Supplier - Independent Clinical Laboratory 5092850537 Practice locations: Carolina, PR

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1250121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605916800000",
    "number": "1639301427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. PRIMAVERA",
            "address_2": "CALLE PASEO DE ORQUIDEAS #68",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "00976",
            "telephone_number": "787-564-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA 860 KM 0.8",
            "address_2": "BARRIO MARTIN GONZALEZ",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00957",
            "telephone_number": "787-671-2699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO METROPOLIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-13",
        "last_updated": "2020-11-21",
        "certification_date": "2020-11-21",
        "status": "A",
        "authorized_official_last_name": "ROMERO",
        "authorized_official_first_name": "CONCEPCION",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-564-1495",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.T. (ASCP)"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2020; 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.