Lab Clinico Villa Ana

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

872 Issued in PR

Legal business name

LAB CLINICO VILLA ANA

Practice address

Carr. PR-31, KM.14.0, Bo. Pena Pobre
Naguabo, PR 00718

Phone

(787) 874-1698

Fax

(787) 874-1698

NPI assigned

May 16, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Myrna L. Beltran, M.T

Title

Owner

Phone

(787) 874-1698

Specialties & licenses 1

Addresses

Other names 1

• Laboratorio Clinico Villa Ana Pena Pobre Doing business as

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Myrna Liz Beltran

  • Clinical Medical Laboratory
  • Carolina, PR
  • NPI 1184676603

  0345287082

  Same PAC ID

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771372800000",
    "number": "1659323178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 476",
            "city": "JUNCOS",
            "state": "PR",
            "postal_code": "007770476",
            "telephone_number": "787-874-1698",
            "fax_number": "787-874-1698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. PR-31, KM.14.0, BO. PENA POBRE",
            "city": "NAGUABO",
            "state": "PR",
            "postal_code": "00718",
            "telephone_number": "787-874-1698",
            "fax_number": "787-874-1698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAB CLINICO VILLA ANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A",
        "authorized_official_last_name": "BELTRAN",
        "authorized_official_first_name": "MYRNA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-874-1698",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.T"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laboratorio Clinico Villa Ana Pena Pobre",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Clarissa Hernandez
• Eduardo F Hernandez, MD
• JL Ambulance Service
• Joyful Thought Psychiatry
• La Esperanza Medical Supply
• Laboratorio Clinico Medina Inc.
• Laboratorio Clinico Pena Pobre CSP
• Desiree Lopez, RND
• Dora Oliva Lopez
• Eduardo Lopez, PSYCHOLOGYST

• Clinical Medical Laboratory in Naguabo, PR
• Providers in Naguabo, 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 Feb 18, 2026; 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.