Laboratorio Clinico Ensenadeno Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

583 Issued in PR

Legal business name

LABORATORIO CLINICO ENSENADENO INC

Practice address

25B Calle Lajas
Avenida Los Veteranos
Ensenada, PR 00647

Phone

(787) 821-3008

Fax

(787) 821-3008

NPI assigned

May 10, 2007

Last updated

Dec 30, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Angeles M Acevedo, BS MT ASCP

Title

President

Phone

(787) 821-3008

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Milagros E Rodriguez Couto, MT

  • Medical Laboratory Technician
  • Ensenada, PR
  • NPI 1376640722
  NPD (past)

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451433600000",
    "number": "1710191689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 133",
            "city": "ENSENADA",
            "state": "PR",
            "postal_code": "006470133",
            "telephone_number": "787-821-3008",
            "fax_number": "787-821-3008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25B CALLE LAJAS",
            "address_2": "AVENIDA LOS VETERANOS",
            "city": "ENSENADA",
            "state": "PR",
            "postal_code": "00647",
            "telephone_number": "787-821-3008",
            "fax_number": "787-821-3008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO ENSENADENO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2015-12-30",
        "status": "A",
        "authorized_official_last_name": "ACEVEDO",
        "authorized_official_first_name": "ANGELES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-821-3008",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BS MT ASCP"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose Enrique Camacho Colberg Sr., MD
• Paola Krystal Cancel del Valle
• Caribe Medical Services Amm Inc
• Katiana Nicole Castillo-Camareno
• Efrain Feliciano Irizarry, MD
• Mabel Custody Services Inc.
• Migrant Health Center Western Region, Inc.
• Migrant Health Center, Inc
• Milagros E Rodriguez Couto, MT
• Salud Med Center, L.L.C.

• Clinical Medical Laboratory in Ensenada, PR
• Providers in Ensenada, 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 Dec 30, 2015; 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.