Laboratorio Clinico Renacer LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

LABORATORIO CLINICO RENACER LLC

Practice address

Il 32 Ave Carlos J Andaluz
Royal Palm
Bayamon, PR 00956

Phone

(787) 626-9898

NPI assigned

Aug 7, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Damaris Candelario, MLS

Title

President

Phone

(787) 236-8650

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

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

{
    "created_epoch": "1533600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533600000000",
    "number": "1679052161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB PALACIOS DEL MONTE",
            "address_2": "1603 CALLE RARIER",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "009535246",
            "telephone_number": "787-236-8650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "IL 32 AVE CARLOS J ANDALUZ",
            "address_2": "ROYAL PALM",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00956",
            "telephone_number": "787-626-9898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO RENACER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-07",
        "last_updated": "2018-08-07",
        "status": "A",
        "authorized_official_last_name": "CANDELARIO",
        "authorized_official_first_name": "DAMARIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-236-8650",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MLS"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laboratorio Clinico Minillas Corp.
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• Laboratorio Clinico North Main
• Laboratorio Clinico Principal Inc
• Laboratorio Clinico Pura Vida, LLP
• Laboratorio Clinico Rex, Inc.
• Laboratorio Clinico San Fernando
• Laboratorio Clinico Sant Rosa
• Laboratorio Clinico Santa Juanita Inc.
• Laboratorio Clinico Santa Juanita, Inc

• Clinical Medical Laboratory in Bayamon, PR
• Providers in Bayamon, 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 7, 2018; 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.