Organization Active NPI

Laboratorio Clinico Raul Diaz

  • Clinical Medical Laboratory
  • San Juan, PR
National Provider Identifier
1720172026
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
617 Issued in PR
Legal business name
LABORATORIO CLINICO RAUL DIAZ
Practice address
Laboratorio Clinico Raul Diaz Ave. Jesus T. Pinero 265
San Juan, PR 00927
Phone
(787) 758-0120
Fax
(787) 250-8123
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Raul Diaz Pineiro
Title
Owner
Phone
(787) 758-0120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 617 PR Primary

Addresses

Primary practice location

Laboratorio Clinico Raul Diaz Ave. Jesus T. Pinero 265
San Juan, PR 00927

Mailing address

PO Box 22321 Upr Station
San Juan, PR 00931-2321
Phone (787) 758-0120

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720172026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22321 UPR STATION",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009312321",
            "telephone_number": "787-758-0120",
            "fax_number": "787-250-8123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LABORATORIO CLINICO RAUL DIAZ AVE. JESUS T. PINERO 265",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00927",
            "telephone_number": "787-758-0120",
            "fax_number": "787-250-8123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO RAUL DIAZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DIAZ PINEIRO",
        "authorized_official_first_name": "RAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-758-0120",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.