Laboratorio Clinica de Cuidado Medico Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

1020 Issued in PR

Legal business name

LABORATORIO CLINICA DE CUIDADO MEDICO INC

Practice address

4 Calle Hospital
Ciales, PR 00638-3310

Phone

(787) 871-1098

Fax

(787) 871-4883

NPI assigned

May 23, 2007

Last updated

Oct 29, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Yesenia Delgado, LIC.

Title

Supervisora

Phone

(787) 871-1098

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383004800000",
    "number": "1679783146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1347",
            "city": "CIALES",
            "state": "PR",
            "postal_code": "006381347",
            "telephone_number": "787-871-1098",
            "fax_number": "787-871-4883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 CALLE HOSPITAL",
            "city": "CIALES",
            "state": "PR",
            "postal_code": "006383310",
            "telephone_number": "787-871-1098",
            "fax_number": "787-871-4883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICA DE CUIDADO MEDICO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2013-10-29",
        "status": "A",
        "authorized_official_last_name": "DELGADO",
        "authorized_official_first_name": "YESENIA",
        "authorized_official_title_or_position": "SUPERVISORA",
        "authorized_official_telephone_number": "787-871-1098",
        "authorized_official_credential": "LIC."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "1020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCIA",
            "identifier": "1020",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Laboratorio Amador LLC
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• Laboratorio Clinico Bella Vista de Ciales Inc
• Laboratorio Clinico Expreso JVG
• Laboratorio Clinico Expresso JVG Inc
• Laboratorio Clinico Lomar Inc. (Laboratorio Clinico Lomar)

• Clinical Medical Laboratory in Ciales, PR
• Providers in Ciales, 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 Oct 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.