Organization Active NPI

Yamka LLC

  • Clinical Medical Laboratory
  • Cabo Rojo, PR
National Provider Identifier
1689360653
Registry record updated Apr 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
YAMKA LLC
Practice address
Carr 101 KM 16.4 Las Arenas
Cabo Rojo, PR 00622
Phone
(787) 314-2834
NPI assigned
Apr 13, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2023

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

Authorized official

Name
Mrs. Yanice Marrero-Rivera
Title
Administrator
Phone
(787) 314-2834

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

Carr 101 KM 16.4 Las Arenas
Cabo Rojo, PR 00622

Mailing address

HC 1 Box 1620
Boqueron, PR 00622
Phone (787) 314-2834

Other names 1

  • Donatello Clinical Lab Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240122004635 PR Part B Supplier - Independent Clinical Laboratory 5698127926 Practice locations: Boqueron, PR

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1681344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681344000000",
    "number": "1689360653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 1 BOX 1620",
            "city": "BOQUERON",
            "state": "PR",
            "postal_code": "00622",
            "telephone_number": "787-314-2834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 101 KM 16.4 LAS ARENAS",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "00622",
            "telephone_number": "787-314-2834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAMKA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-13",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-06",
        "status": "A",
        "authorized_official_last_name": "MARRERO-RIVERA",
        "authorized_official_first_name": "YANICE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-314-2834",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Donatello Clinical Lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cabo Rojo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; 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.