Laboratorio Clinico Villa Blanca,LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

40D0863294 Issued in PR

Legal business name

LABORATORIO CLINICO VILLA BLANCA,LLC

Practice address

58 Aquamarina Street
Villa Blanca
Caguas, PR 00726

Phone

(787) 746-1686

Fax

(787) 746-1686

NPI assigned

Sep 12, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Luz I Rios, MT ASCP

Title

Medical Technologist

Phone

(787) 746-1686

Specialties & licenses 1

Addresses

Electronic endpoints 1

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": "1126483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652227200000",
    "number": "1659365153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6782",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007266782",
            "telephone_number": "787-746-1686",
            "fax_number": "787-746-1686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 AQUAMARINA STREET",
            "address_2": "VILLA BLANCA",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00726",
            "telephone_number": "787-746-1686",
            "fax_number": "787-746-1686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO VILLA BLANCA,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-12",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A",
        "authorized_official_last_name": "RIOS",
        "authorized_official_first_name": "LUZ",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "MEDICAL TECHNOLOGIST",
        "authorized_official_telephone_number": "787-746-1686",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MT ASCP"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "40D0863294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "opd@laboratoriovillablanca.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "58 Aquamarina Street",
            "address_2": "Villa Blanca",
            "city": "Caguas",
            "state": "PR",
            "country_code": "US",
            "postal_code": "00726",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Laboratorio Clinico Valenciano del Este Inc
• Laboratorio Clinico Veredas, Inc
• Laboratorio Nocturno Caguas Inc.
• Laboratorio Teresita Caguas LLC
• Alejandro Laborde-Corretjer, DMD
• Ivan Enrique Laboy-Ortiz, M.D.
• Ruth Esther Lafontaine-Cruz, PHARMD

• Clinical Medical Laboratory in Caguas, PR
• Providers in Caguas, 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 May 11, 2022; 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.