Ponce Clinical Laboratory, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PONCE CLINICAL LABORATORY, INC.

Doing business as

Ponce Clinical Laboratory Inc

Practice address

1128 Ave Munoz Rivera
Ponce, PR 00717-0643

Phone

(787) 848-0405

Fax

(787) 290-3535

NPI assigned

Sep 28, 2022

Last updated

Sep 28, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

PONCE CLINICAL LABORATORY INCAs reported in NPPES

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

Authorized official

Name

Mrs. Grycel Rosado, LCDA

Title

Owner

Phone

(787) 841-4846

Specialties & licenses 1

Addresses

Other names 1

• PONCE CLINICAL LABORATORY INC Doing business as

Tax ID family

Ponceclinical Laboratory in2 organizations share this tax ID, including this one

Part of

Ponceclinical Laboratory in

Other organizations with this tax ID 1

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

• Ponce Clinical Laboratory, Inc.

  • Clinical Medical Laboratory
  • Ponce, PR
  • NPI 1326475948
  NPD tax ID

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

{
    "created_epoch": "1664323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664323200000",
    "number": "1639893175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 AVE TITO CASTRO STE 101",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007160206",
            "telephone_number": "939-630-2689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1128 AVE MUNOZ RIVERA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007170643",
            "telephone_number": "787-848-0405",
            "fax_number": "787-290-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PONCE CLINICAL LABORATORY, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PONCE CLINICAL LABORATORY INC",
        "enumeration_date": "2022-09-28",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A",
        "authorized_official_last_name": "ROSADO",
        "authorized_official_first_name": "GRYCEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-841-4846",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCDA"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PONCE CLINICAL LABORATORY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ponce Brain Health Institute LLC
• Ponce Cardiology Group, P. S. C. (Ponce Cardiology Group)
• Ponce Cardiovascular Services, PSC
• Ponce Clinical Laboratory, Inc.
• Ponce Clinical Laboratory, Inc.
• Ponce Conductual
• Ponce Dental Group
• Ponce Diagnostic Radiology Center CSP
• Ponce Eye Med Institute LCC
• Ponce Gastroenterology Society

• Clinical Medical Laboratory in Ponce, PR
• Providers in Ponce, PR by specialty
• Clinical Medical Laboratory in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; 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.