Laboratorio Clinico El Cruce

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

1243 Issued in PR

Legal business name

LABORATORIO CLINICO EL CRUCE

Practice address

Carretera 435 KM 0.1
Barrio Calabazas
San Sebastian, PR 00685

Phone

(787) 280-7777

NPI assigned

Jun 28, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Zylka J Feliciano-GonzalezNPI 1063732303

Title

Owner

Phone

(787) 280-7777

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Zylka J Feliciano-Gonzalez, MT

  • Other Specialist/Technologist
  • San Sebastian, PR
  • NPI 1063732303
  NPD Authorized official

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

{
    "created_epoch": "1277683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340150400000",
    "number": "1730490459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1593",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006851593",
            "telephone_number": "787-280-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA 435 KM 0.1",
            "address_2": "BARRIO CALABAZAS",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "00685",
            "telephone_number": "787-280-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO EL CRUCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-28",
        "last_updated": "2012-06-20",
        "status": "A",
        "authorized_official_last_name": "FELICIANO-GONZALEZ",
        "authorized_official_first_name": "ZYLKA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-280-7777",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "1243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in San Sebastian, PR
• Providers in San Sebastian, PR by specialty
• Clinical Medical Laboratory in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2012; 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.