Organization Active NPI

Laboratorio Clinico Santa Juanita Inc.

  • Clinical Medical Laboratory
  • Bayamon, PR
National Provider Identifier
1639659055
Registry record updated Aug 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
LABORATORIO CLINICO SANTA JUANITA INC.
Practice address
Al20 Calle 30
Bayamon, PR 00956-4706
Phone
(787) 740-0860
Fax
(787) 740-0860
NPI assigned
Aug 15, 2018
Last updated
Aug 15, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2018

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

Authorized official

Name
Mr. Juan A Serrano Torres, MT
Title
President
Phone
(787) 740-0870

Specialties & licenses 1

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

Addresses

Primary practice location

Al20 Calle 30
Bayamon, PR 00956-4706

Mailing address

Al20 Calle 30
Bayamon, PR 00956-4706
Phone (787) 740-0860

National Provider Directory

National Provider Directory
Tax ID family
Lab Clinico Santa Juanita Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

AL20 Calle 30
Bayamon, PR 00956
Phone (787) 740-0860

NPI Registry JSON

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

{
    "created_epoch": "1534291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534291200000",
    "number": "1639659055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AL20 CALLE 30",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009564706",
            "telephone_number": "787-740-0860",
            "fax_number": "787-740-0860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AL20 CALLE 30",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009564706",
            "telephone_number": "787-740-0860",
            "fax_number": "787-740-0860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO SANTA JUANITA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-15",
        "last_updated": "2018-08-15",
        "status": "A",
        "authorized_official_last_name": "SERRANO TORRES",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-740-0870",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2018; 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.