Organization Active NPI

Laboratorio Clinico Camino Nuevo Inc

  • Clinical Medical Laboratory
  • Yabucoa, PR
National Provider Identifier
1720423973
Registry record updated May 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
1282 Issued in PR
Legal business name
LABORATORIO CLINICO CAMINO NUEVO INC
Practice address
Carretera PR 901 KM 3.6
Barrio Camino Nuevo
Yabucoa, PR 00767
Phone
(787) 861-0100
Fax
(787) 861-3156
NPI assigned
May 1, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2013

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

Authorized official

Name
Hector L Ruiz
Title
President, Lab Director
Phone
(787) 861-0100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 1282 PR Primary

Addresses

Primary practice location

Carretera PR 901 KM 3.6
Barrio Camino Nuevo
Yabucoa, PR 00767

Mailing address

PO Box 158
Maunabo, PR 00707-0158
Phone (787) 861-0100

Other identifiers 1

IdentifierTypeStateIssuer
40D2047664OtherCENTERS FOR MEDICARE & MEDICAID SERVICES (CMS)

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1367366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367366400000",
    "number": "1720423973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 158",
            "city": "MAUNABO",
            "state": "PR",
            "postal_code": "007070158",
            "telephone_number": "787-861-0100",
            "fax_number": "787-861-3156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA PR 901 KM 3.6",
            "address_2": "BARRIO CAMINO NUEVO",
            "city": "YABUCOA",
            "state": "PR",
            "postal_code": "00767",
            "telephone_number": "787-861-0100",
            "fax_number": "787-861-3156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO CAMINO NUEVO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-01",
        "last_updated": "2013-05-01",
        "status": "A",
        "authorized_official_last_name": "RUIZ",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT, LAB DIRECTOR",
        "authorized_official_telephone_number": "787-861-0100"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "1282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CENTERS FOR MEDICARE & MEDICAID SERVICES (CMS)",
            "identifier": "40D2047664",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yabucoa, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2013; 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.