Active NPI
Dsi Labs ,Inc
Doing business as Laboratorio Clinico Costa Caribe
- Clinical Medical Laboratory
- San Juan, PR
National Provider Identifier
1720478555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 76
- Legal business name
- DSI LABS ,INC
- Doing business as
- Laboratorio Clinico Costa Caribe
- Practice address
- 409 Ave de Diego
San Juan, PR 00920-3706 - Phone
- (787) 783-0900
- Fax
- (787) 782-2146
- NPI assigned
- Feb 2, 2015
- Last updated
- Apr 13, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Damian E Sanchez Irizarry
- Title
- Presidente
- Phone
- (787) 675-4604
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 76 | PR | Primary |
Addresses
Primary practice location
409 Ave de Diego
San Juan, PR 00920-3706
Mailing address
PO Box 3464
Lajas, PR 00667-3464
Phone (787) 493-2003
Other names 1
- Laboratorio Clinico Costa Caribe
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20121220000186 | PR | Part B Supplier - Independent Clinical Laboratory | 5294987236 |
2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Ponce, PR; San Juan, PR |
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Laboratorio Clinico Costa Caribe
- Clinical Medical Laboratory
- San Juan, PR
- NPI 1093105827
O20121220000186
-
dba Laboratorio Clinico Costa Caribe
- Clinical Medical Laboratory
- Ponce, PR
- NPI 1679828818
O20121220000186
National Provider Directory
National Provider Directory- Tax ID family
- Dsi Labs Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Laboratorio Clinico Costa Caribe
- Clinical Medical Laboratory
- San Juan, PR
- NPI 1093105827
-
dba Laboratorio Clinico Costa Caribe
- Clinical Medical Laboratory
- Ponce, PR
- NPI 1679828818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422835200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1681344000000",
"number": "1720478555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3464",
"city": "LAJAS",
"state": "PR",
"postal_code": "006673464",
"telephone_number": "787-493-2003",
"fax_number": "787-493-2003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "409 AVE DE DIEGO",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009203706",
"telephone_number": "787-783-0900",
"fax_number": "787-782-2146"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DSI LABS ,INC",
"organizational_subpart": "NO",
"enumeration_date": "2015-02-02",
"last_updated": "2023-04-13",
"certification_date": "2023-04-13",
"status": "A",
"authorized_official_last_name": "SANCHEZ IRIZARRY",
"authorized_official_first_name": "DAMIAN",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PRESIDENTE",
"authorized_official_telephone_number": "787-675-4604",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "PR",
"license": "76",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Laboratorio Clinico Costa Caribe",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Laboratorio Clinico Costa Caribe",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Apr 13, 2023; 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.