Laboratorio Clinico El Vivi

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

509 Issued in PR

Legal business name

LABORATORIO CLINICO EL VIVI

Practice address

53 Calle Betances
Utuado, PR 00641-2859

Phone

(787) 894-2270

Fax

(787) 894-2270

NPI assigned

May 22, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Samuel Rivera Natal, MD

Title

Owner

Phone

(787) 879-5704

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Tax ID family

Lab Clin El Vivi Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Laboratorio Clinico El Vivi

  • Clinical Medical Laboratory
  • Arecibo, PR
  • NPI 1518829639
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Laboratorio Clinico El Vivi

  • Clinical Medical Laboratory
  • Arecibo, PR
  • NPI 1518829639
  NPPES parent name

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samuel Rivera Natal Sr., MD

  • Emergency Medicine Physician
  • Hatillo, PR
  • NPI 1639119670
  NPD
• Zaida Ivette Acevedo Martinez, L.N.D

  • Nutritionist
  • Utuado, PR
  • NPI 1598113862
  NPD (past)
• Astrid L Arce Ramos, M.D.

  • General Practice Physician
  • Utuado, PR
  • NPI 1811108459
  NPD (past)

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428278400000",
    "number": "1659538932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9975",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006139975",
            "telephone_number": "787-879-5704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 CALLE BETANCES",
            "city": "UTUADO",
            "state": "PR",
            "postal_code": "006412859",
            "telephone_number": "787-894-2270",
            "fax_number": "787-894-2270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO EL VIVI",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-22",
        "last_updated": "2015-04-06",
        "status": "A",
        "authorized_official_last_name": "NATAL",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "RIVERA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-879-5704",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCIA DE SALUD",
            "identifier": "509",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jose N Toledo Garcia (Laboratorio Clinico Caparros)
• Julric Med C.S.P
• Laboratorio Clinico Bacteriologico Santiago Inc
• Laboratorio Clinico Caparros LLC
• Laboratorio Clinico Central
• Laboratorio Clinico Otoao LLC
• Laboratorio Clinico Rivera Inc
• Laboratorio Clinico Santiago Inc
• Laboratorio Clinico Torres
• Laboratorio Clinicoy Bacteriologico Santiago

• Clinical Medical Laboratory in Utuado, PR
• Providers in Utuado, 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 Apr 6, 2015; 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.