Organization Active NPI

Laboratorio Clinico Delgado Amador, PSC

  • Clinical Medical Laboratory
  • Camuy, PR
National Provider Identifier
1730352634
Registry record updated Apr 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
798 Issued in PR
Legal business name
LABORATORIO CLINICO DELGADO AMADOR, PSC
Practice address
Carr #2 KM 92.9 Marginal
Barrio Membrillo
Camuy, PR 00627
Phone
(787) 820-4722
Fax
(787) 898-0318
NPI assigned
Apr 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2008

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

Authorized official

Name
Mrs. Sahudy Margarita Amador, MS MT ASCP
Title
President
Phone
(787) 376-5524

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 798 PR Primary

Addresses

Primary practice location

Carr #2 KM 92.9 Marginal
Barrio Membrillo
Camuy, PR 00627

Mailing address

47 Urb Vista Verde
Camuy, PR 00627-3302
Phone (787) 820-4722

Other names 1

  • Laboratorio Clinico San Jose Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080516000082 PR Part B Supplier - Independent Clinical Laboratory 8123197191 Practice locations: Camuy, PR

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1207872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207872000000",
    "number": "1730352634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 URB VISTA VERDE",
            "city": "CAMUY",
            "state": "PR",
            "postal_code": "006273302",
            "telephone_number": "787-820-4722",
            "fax_number": "787-898-0318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR #2 KM 92.9 MARGINAL",
            "address_2": "BARRIO MEMBRILLO",
            "city": "CAMUY",
            "state": "PR",
            "postal_code": "00627",
            "telephone_number": "787-820-4722",
            "fax_number": "787-898-0318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO DELGADO AMADOR, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-11",
        "last_updated": "2008-04-11",
        "status": "A",
        "authorized_official_last_name": "AMADOR",
        "authorized_official_first_name": "SAHUDY",
        "authorized_official_middle_name": "MARGARITA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-376-5524",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS MT ASCP"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laboratorio Clinico San Jose",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Camuy, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2008; 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.