Organization Active NPI

Laboratorio Clinico Rural Trujillo Alto

  • Clinical Medical Laboratory
  • Trujillo Alto, PR
National Provider Identifier
1700077765
Registry record updated Aug 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
852 Issued in PR
Legal business name
LABORATORIO CLINICO RURAL TRUJILLO ALTO
Practice address
Rd. 181 KM 8.6
Bo. Dos Bocas
Trujillo Alto, PR 00977
Phone
(787) 760-4500
Fax
(787) 283-2950
NPI assigned
Aug 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2007

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

Authorized official

Name
Mrs. Sonya L. Goytia, MS MT ASCP
Title
Administrator
Phone
(787) 760-4500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 852 PR Primary

Addresses

Primary practice location

Rd. 181 KM 8.6
Bo. Dos Bocas
Trujillo Alto, PR 00977

Mailing address

PO Box 1468
Trujillo Alto, PR 00977-1468
Phone (787) 760-4500

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186358400000",
    "number": "1700077765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1468",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009771468",
            "telephone_number": "787-760-4500",
            "fax_number": "787-283-2950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RD. 181 KM 8.6",
            "address_2": "BO. DOS BOCAS",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "00977",
            "telephone_number": "787-760-4500",
            "fax_number": "787-283-2950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO RURAL TRUJILLO ALTO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-06",
        "last_updated": "2007-08-06",
        "status": "A",
        "authorized_official_last_name": "GOYTIA",
        "authorized_official_first_name": "SONYA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-760-4500",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS MT ASCP"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trujillo Alto, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2007; 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.