Organization Active NPI

Jeannette Toledo Rodriguez

  • Clinical Medical Laboratory
  • Hatillo, PR
National Provider Identifier
1659481927
Registry record updated Feb 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
764 Issued in PR
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

Updated by the provider on Feb 10, 2014

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)CodeLicenseStatePrimary
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 Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Directory

Locations

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.

Verify at the official NPI Registry.