Organization Active NPI

Omayra Rodriguez Velez

Doing business as Laboratorio Clinico Susua

  • Clinical Medical Laboratory
  • Yauco, PR
National Provider Identifier
1689784639
Registry record updated Jul 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
1070 Issued in PR
Legal business name
OMAYRA RODRIGUEZ VELEZ
Doing business as
Laboratorio Clinico Susua
Practice address
Bo Susua Alta Sector la Palmita
Carr 368 KM 10.7
Yauco, PR 00698
Phone
(787) 856-5211
Fax
(787) 856-5211
NPI assigned
Aug 30, 2006
Last updated
Jul 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2008

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

Authorized official

Name
Mrs. Omayra Rodriguez, MT
Title
Propietaria
Phone
(787) 856-5211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 1070 PR Primary

Addresses

Primary practice location

Bo Susua Alta Sector la Palmita
Carr 368 KM 10.7
Yauco, PR 00698

Mailing address

HC 04 Box 11824
Yauco, PR 00698
Phone (787) 856-5211

Other names 1

  • Laboratorio Clinico Susua Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1689784639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 04 BOX 11824",
            "city": "YAUCO",
            "state": "PR",
            "postal_code": "00698",
            "telephone_number": "787-856-5211",
            "fax_number": "787-856-5211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BO SUSUA ALTA SECTOR LA PALMITA",
            "address_2": "CARR 368 KM 10.7",
            "city": "YAUCO",
            "state": "PR",
            "postal_code": "00698",
            "telephone_number": "787-856-5211",
            "fax_number": "787-856-5211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMAYRA RODRIGUEZ VELEZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2008-07-14",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "OMAYRA",
        "authorized_official_title_or_position": "PROPIETARIA",
        "authorized_official_telephone_number": "787-856-5211",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "1070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laboratorio Clinico Susua",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yauco, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; 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.