Active NPI
Laboratorio Clinico Familiar Inc.
- Clinical Medical Laboratory
- San Juan, PR
National Provider Identifier
1659336238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 732
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 800029 | Other | PR | MMM PROVIDER NUMBER |
| 30816 | Other | PR | SSS PROVIDER NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110830000433 | PR | Part B Supplier - Independent Clinical Laboratory | 9032389093 | Practice locations: San Juan, PR |
National Provider Directory
National Provider DirectoryLocations
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
- Laboratorio Clinico El Monte
- Laboratorio Clinico El Morro, Inc
- Laboratorio Clinico El Paraiso, Inc.
- Laboratorio Clinico El Senorial, Inc
- Laboratorio Clinico Europa Inc
- Laboratorio Clinico Fernando Montilla, Inc.
- Laboratorio Clinico Ginara Inc
- Laboratorio Clinico Hato Rey Inc.
- Laboratorio Clinico Hermns Hikasobe
- Laboratorio Clinico la Cumbre, Inc
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.