Organization Active NPI

Laboratorio Clinico Chegar Inc

  • Clinical Medical Laboratory
  • Canovanas, PR
National Provider Identifier
1689838732
Registry record updated Apr 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
00961 Issued in PR
Legal business name
LABORATORIO CLINICO CHEGAR INC
Practice address
Calle Corchado Final 1
Pueblo
Canovanas, PR 00729-1631
Phone
(787) 886-3659
NPI assigned
Jul 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2013

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

Authorized official

Name
Mrs. Carmen J Cepeda, B.S.,MT.,AS.CP.
Title
Directora
Phone
(787) 809-4697

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 00961 PR Primary

Addresses

Primary practice location

Calle Corchado Final 1
Pueblo
Canovanas, PR 00729-1631

Mailing address

PO Box 1631
Canovanas, PR 00729-1631
Phone (787) 886-3659

Other names 1

  • laboratorio clinico del cdt canovanas Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070226000037 PR Part B Supplier - Independent Clinical Laboratory 6901908763 2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Rio Grande, PR

Other NPIs on the same Medicare enrollment 2

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

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366761600000",
    "number": "1689838732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1631",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "007291631",
            "telephone_number": "787-886-3659",
            "fax_number": "787-886-3659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE CORCHADO FINAL 1",
            "address_2": "PUEBLO",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "007291631",
            "telephone_number": "787-886-3659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO CHEGAR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-17",
        "last_updated": "2013-04-24",
        "status": "A",
        "authorized_official_last_name": "CEPEDA",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTORA",
        "authorized_official_telephone_number": "787-809-4697",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "B.S.,MT.,AS.CP."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "00961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "laboratorio clinico del cdt canovanas",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Canovanas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2013; 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.