Laboratorio Clinico Hermns Hikasobe

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

627 Issued in PR

Legal business name

LABORATORIO CLINICO HERMNS HIKASOBE

Practice address

124 Ave Roosevelt
San Juan, PR 00917-2703

Phone

(787) 754-8818

Fax

(787) 274-0186

NPI assigned

Jul 5, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Ileana Duran, M.T.

Title

Owner

Phone

(787) 754-8818

Specialties & licenses 1

Addresses

Other names 1

• LABORATORIO CLINICO Y BACTERIOLOGICO AMERICA Doing business as

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Laboratorio Clinico Hnos Mikasobe,LLC

  • Clinical Medical Laboratory
  • Canovanas, PR
  • NPI 1770514150

  O20120508000344

  Same enrollment

Locations

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727913600000",
    "number": "1689605909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB RIACHUELO",
            "address_2": "65 CALLE CORRIENTES",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009766141",
            "telephone_number": "787-754-8818",
            "fax_number": "787-274-0186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 AVE ROOSEVELT",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009172703",
            "telephone_number": "787-754-8818",
            "fax_number": "787-274-0186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO HERMNS HIKASOBE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2024-10-03",
        "certification_date": "2024-09-30",
        "status": "A",
        "authorized_official_last_name": "DURAN",
        "authorized_official_first_name": "ILEANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-754-8818",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.T."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LABORATORIO CLINICO Y BACTERIOLOGICO AMERICA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laboratorio Clinico Europa Inc
• Laboratorio Clinico Familiar Inc.
• Laboratorio Clinico Fernando Montilla, Inc.
• Laboratorio Clinico Ginara Inc
• Laboratorio Clinico Hato Rey Inc.
• Laboratorio Clinico la Cumbre, Inc
• Laboratorio Clinico la Merced Inc
• Laboratorio Clinico Magdalena Inc.
• Laboratorio Clinico Margarita
• Laboratorio Clinico Martin II, Inc.

• Clinical Medical Laboratory in San Juan, PR
• Providers in San Juan, 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 3, 2024; 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.