Laboratorio Clinico Mercado Inc
Organization Active NPI Clinical Medical Laboratory · Orocovis, PR
NPI 1720069701 · NPPES record last updated Dec 19, 2008
Key facts
- NPI
- 1720069701
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Medical Laboratory 291U00000X
- License
- 528 (PR)
- Legal business name
- LABORATORIO CLINICO MERCADO INC
- Practice address
- Calle Ramos Antonini #2
Orocovis, PR 00720-1291 - Phone
- (787) 867-0980
- Fax
- (787) 867-0980
- NPI assigned
- Nov 8, 2005
- Organization subpart
- No
Authorized official
- Name
- Mrs. Maria De L. Mercado, M.T-ASCP
- Title
- Laboratory Director
- Phone
- (787) 867-0980
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090203000443 | PR | Part B Supplier - Independent Clinical Laboratory | 1951465145 | Practice locations: Orocovis, PR |
National Provider Directory
Locations
2 Calle Ramos Antonini
Ste 2
Orocovis, PR 00720
Phone (787) 867-0980
2 Calle Ramos Antonini
Orocovis, PR 00720
Phone (787) 867-0980
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 528 | PR | Yes |
Addresses
Primary practice location
Calle Ramos Antonini #2
Orocovis, PR 00720-1291
Mailing address
PO Box 1291
Calle Ramos Antonini #2
Orocovis, PR 00720-1291
Phone (787) 867-0980
Other providers in Orocovis, PR
- Jireh Medical Transport LLC
- JJ Paramedic Inc
- JRC Servicios Medicos CSP
- Laboratorio Clinico Borinquen
- Laboratorio Clinico Lomar Inc.
- Astrid Camille Lopez Santiago
- Edna Lozada Rivera
- Luis R Rodriguez Torres
- Edna Carmen Maldonado
- Linnete Maldonado
All providers in Orocovis, PR · Clinical Medical Laboratory in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 19, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.