Organization Active NPI

Laboratorio Clinico Familiar Inc.

  • Clinical Medical Laboratory
  • San Juan, PR
National Provider Identifier
1659336238
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
732 Issued in PR
Legal business name
LABORATORIO CLINICO FAMILIAR INC.
Practice address
862 Ave San Patricio
Las Lomas
San Juan, PR 00921-1308
Phone
(787) 273-0335
Fax
(787) 793-6538
NPI assigned
Apr 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Muay Chiing Sang Pons-Chez, M.T.
Title
Supervisor
Phone
(787) 273-0335

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 732 PR Primary

Addresses

Primary practice location

862 Ave San Patricio
Las Lomas
San Juan, PR 00921-1308

Mailing address

862 Ave San Patricio
Las Lomas
San Juan, PR 00921-1308
Phone (787) 273-0335

Other identifiers 2

IdentifierTypeStateIssuer
800029OtherPRMMM PROVIDER NUMBER
30816OtherPRSSS PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110830000433 PR Part B Supplier - Independent Clinical Laboratory 9032389093 Practice locations: San Juan, PR

National Provider Directory

National Provider Directory

Locations

862 Ave San Patricio
San Juan, PR 00921
Phone (787) 202-1665

NPI Registry JSON

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659336238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "862 AVE SAN PATRICIO",
            "address_2": "LAS LOMAS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009211308",
            "telephone_number": "787-273-0335",
            "fax_number": "787-793-6538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "862 AVE SAN PATRICIO",
            "address_2": "LAS LOMAS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009211308",
            "telephone_number": "787-273-0335",
            "fax_number": "787-793-6538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO FAMILIAR INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PONS-CHEZ",
        "authorized_official_first_name": "MUAY CHIING",
        "authorized_official_middle_name": "SANG",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "787-273-0335",
        "authorized_official_credential": "M.T."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "732",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MMM PROVIDER NUMBER",
            "identifier": "800029",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSS PROVIDER NUMBER",
            "identifier": "30816",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; 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.