Laboratorio Clinico Campo Rico ,Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

786 Issued in PR

Legal business name

LABORATORIO CLINICO CAMPO RICO ,INC.

Practice address

929 Robert O Sanchez Vilella Ave.
Country Club
San Juan, PR 00924-2585

Phone

(787) 762-0655

Fax

(787) 276-0677

NPI assigned

May 2, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Ada E Quinones, MEDICAL TECHNOLOGIST

Title

Director

Phone

(787) 762-0655

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659339661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 AVE ROBERTO SANCHEZ VILELLA",
            "address_2": "COUNTRY CLUB",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009242585",
            "fax_number": "787-276-0677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 ROBERT O SANCHEZ VILELLA AVE.",
            "address_2": "COUNTRY CLUB",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009242585",
            "telephone_number": "787-762-0655",
            "fax_number": "787-276-0677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO CAMPO RICO ,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "QUINONES",
        "authorized_official_first_name": "ADA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "787-762-0655",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MEDICAL TECHNOLOGIST"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Laboratorio Clinico Caimito Inc
• Laboratorio Clinico CDT Dr. Arnaldo J Garcia
• Laboratorio Clinico CDT Dr. Javier J Anton
• Laboratorio Clinico CDT Dr. Jose Lopez Antongiorgi
• Laboratorio Clinico CDT Dr. Jose S Belaval
• Laboratorio Clinico Ciudadela Inc

• Clinical Medical Laboratory in San Juan, PR
• Providers in San Juan, 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 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.