Active NPI
Jeannette Toledo Rodriguez
- Clinical Medical Laboratory
- Hatillo, PR
National Provider Identifier
1659481927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 764
- Legal business name
- JEANNETTE TOLEDO RODRIGUEZ
- Practice address
- Carr 492 KM 0.1
Bo Capaez Sector Lechuga
Hatillo, PR 00659-9527 - Phone
- (787) 820-3183
- NPI assigned
- Aug 30, 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
- Jeannette Toledo Rodriguez
- Title
- Propietary
- Phone
- (787) 820-3183
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 764 | PR | Primary |
Addresses
Primary practice location
Carr 492 KM 0.1
Bo Capaez Sector Lechuga
Hatillo, PR 00659-9527
Mailing address
HC 6 Box 10560
Hatillo, PR 00659-9527
Phone (787) 820-3183
Other names 1
- LABORATORIO CLINICO LECHUGA
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080904000709 | PR | Part B Supplier - Independent Clinical Laboratory | 1254407836 |
1 other NPI on this enrollment Practice locations: Hatillo, PR |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryLocations
10560 HC 6
Hatillo, PR 00659
Phone (787) 820-3183
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1391990400000",
"number": "1659481927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 6 BOX 10560",
"city": "HATILLO",
"state": "PR",
"postal_code": "006599527",
"telephone_number": "787-820-3183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR 492 KM 0.1",
"address_2": "BO CAPAEZ SECTOR LECHUGA",
"city": "HATILLO",
"state": "PR",
"postal_code": "006599527",
"telephone_number": "787-820-3183"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEANNETTE TOLEDO RODRIGUEZ",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-30",
"last_updated": "2014-02-10",
"status": "A",
"authorized_official_last_name": "TOLEDO RODRIGUEZ",
"authorized_official_first_name": "JEANNETTE",
"authorized_official_title_or_position": "PROPIETARY",
"authorized_official_telephone_number": "787-820-3183"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "PR",
"license": "764",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "LABORATORIO CLINICO LECHUGA",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Hatillo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2014; 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.