NPIMap

Organization Active NPI

Laboratorio Clinico Central

  • Clinical Medical Laboratory
  • Utuado, PR
National Provider Identifier
1639310402
Registry record updated Mar 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
573 Issued in PR
Legal business name
LABORATORIO CLINICO CENTRAL
Practice address
5 Calle T Jordan Correa
Utuado, PR 00641-2880
Phone
(787) 894-1145
Fax
(787) 894-1145
NPI assigned
Mar 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2009

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

Authorized official

Name
Ms. Gladysbel Dorta, MTNPI 1619116134
Title
Owner
Phone
(787) 894-1145

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 573 PR Primary

Addresses

Primary practice location

5 Calle T Jordan Correa
Utuado, PR 00641-2880

Mailing address

5 Calle T Jordan Correa
Utuado, PR 00641-2880
Phone (787) 894-1145

National Provider Directory

National Provider Directory

Locations

5 Calle T Jordan Correa
Utuado, PR 00641
Phone (787) 894-1145

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1236556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236556800000",
    "number": "1639310402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 CALLE T JORDAN CORREA",
            "city": "UTUADO",
            "state": "PR",
            "postal_code": "006412880",
            "telephone_number": "787-894-1145",
            "fax_number": "787-894-1145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 CALLE T JORDAN CORREA",
            "city": "UTUADO",
            "state": "PR",
            "postal_code": "006412880",
            "telephone_number": "787-894-1145",
            "fax_number": "787-894-1145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO CENTRAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-09",
        "last_updated": "2009-03-09",
        "status": "A",
        "authorized_official_last_name": "DORTA",
        "authorized_official_first_name": "GLADYSBEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-894-1145",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Utuado, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2009; 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.