Organization Active NPI

Grupo de Empresas de Salud de San Juan, Inc

  • Clinical Medical Laboratory
  • San Juan, PR
National Provider Identifier
1649551060
Registry record updated Jan 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
167 Issued in PR
Legal business name
GRUPO DE EMPRESAS DE SALUD DE SAN JUAN, INC
Practice address
107 Calle Padre Las Casas
Urb. El Vedado
San Juan, PR 00918-3104
Phone
(787) 767-8758
Fax
(787) 250-9265
NPI assigned
Aug 30, 2011
Last updated
Jan 13, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
GRUPO EMPRESAS DE SALUDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 13, 2014

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

Authorized official

Name
Dr. Raul Villalobos, MDNPI 1700589249
Title
President
Phone
(787) 767-8758

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 167 PR Primary

Addresses

Primary practice location

107 Calle Padre Las Casas
Urb. El Vedado
San Juan, PR 00918-3104

Mailing address

PO Box 193044
San Juan, PR 00919-3044
Phone (787) 767-8758

Other names 1

  • Laboratorio Clinico CDT Doctores Villalobos Other name

National Provider Directory

National Provider Directory
Tax ID family
Grupo Empresas de Salud de San Juan Inc19 organizations share this tax ID, including this one
Part of
Grupo Empresas de Salud de San Juan Inc

Other organizations with this tax ID 18

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

View all 18

Practitioners & affiliated clinicians

Practitioners 7

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": "1314662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389571200000",
    "number": "1649551060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 193044",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009193044",
            "telephone_number": "787-767-8758",
            "fax_number": "787-250-9265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 CALLE PADRE LAS CASAS",
            "address_2": "URB. EL VEDADO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183104",
            "telephone_number": "787-767-8758",
            "fax_number": "787-250-9265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRUPO DE EMPRESAS DE SALUD DE SAN JUAN, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GRUPO EMPRESAS DE SALUD",
        "enumeration_date": "2011-08-30",
        "last_updated": "2014-01-13",
        "status": "A",
        "authorized_official_last_name": "VILLALOBOS",
        "authorized_official_first_name": "RAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-767-8758",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laboratorio Clinico CDT Doctores Villalobos",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2014; 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.