Organization Active NPI

Laboratorio Clinico Ortega, Inc.

  • Clinical Medical Laboratory
  • Naranjito, PR
National Provider Identifier
1699775379
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
267 Issued in PR
Legal business name
LABORATORIO CLINICO ORTEGA, INC.
Practice address
Calle Georgetti #64
Naranjito, PR 00719-3027
Phone
(787) 869-3265
Fax
(787) 869-2562
NPI assigned
Jul 26, 2005
Last updated
Sep 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

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

Authorized official

Name
Ms. Idith Y Cintron
Title
Administrator
Phone
(787) 869-3265

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 267 PR Primary

Addresses

Primary practice location

Calle Georgetti #64
Naranjito, PR 00719-3027

Mailing address

PO Box 725
Naranjito, PR 00719-0725
Phone (787) 869-3265

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120315000512 PR Part B Supplier - Independent Clinical Laboratory 2961661616 Practice locations: Naranjito, PR

National Provider Directory

National Provider Directory

Locations

64 Calle Georgetti
Naranjito, PR 00719
Phone (787) 869-1706

NPI Registry JSON

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727395200000",
    "number": "1699775379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 725",
            "city": "NARANJITO",
            "state": "PR",
            "postal_code": "007190725",
            "telephone_number": "787-869-3265",
            "fax_number": "787-869-2562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE GEORGETTI #64",
            "city": "NARANJITO",
            "state": "PR",
            "postal_code": "007193027",
            "telephone_number": "787-869-3265",
            "fax_number": "787-869-2562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO ORTEGA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-26",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A",
        "authorized_official_last_name": "CINTRON",
        "authorized_official_first_name": "IDITH",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-869-3265",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naranjito, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.