Active NPI
Laboratorio Clinico Delgado Amador, PSC
- Clinical Medical Laboratory
- Camuy, PR
National Provider Identifier
1730352634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 798
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080516000082 | PR | Part B Supplier - Independent Clinical Laboratory | 8123197191 | Practice locations: Camuy, PR |
National Provider Directory
National Provider DirectoryNPI 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.