Laboratorio Clinico Las Antillas PSC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

653 Issued in PR

Legal business name

LABORATORIO CLINICO LAS ANTILLAS PSC

Practice address

Eugenio Sanchez Lopez #7 Sur
San Lorenzo, PR 00754

Phone

(787) 736-2636

Fax

(787) 736-0677

NPI assigned

Feb 5, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Maria T Salgueiro, MT ASCP

Title

President

Phone

(787) 736-2636

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Laboratorio Clinico Las Antillas PSC

  • Clinical Medical Laboratory
  • Cayey, PR
  • NPI 1760522437

  O20070628000105

  Same enrollment

Tax ID family

Lab Clinico Las Antillas2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Laboratorio Clinico Las Antillas PSC

  • Clinical Medical Laboratory
  • Cayey, PR
  • NPI 1760522437
  NPD tax ID

Locations

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292889600000",
    "number": "1740329853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 992",
            "city": "SAN LORENZO",
            "state": "PR",
            "postal_code": "00754",
            "telephone_number": "787-736-2636",
            "fax_number": "787-736-0677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EUGENIO SANCHEZ LOPEZ #7 SUR",
            "city": "SAN LORENZO",
            "state": "PR",
            "postal_code": "00754",
            "telephone_number": "787-736-2636",
            "fax_number": "787-736-0677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO LAS ANTILLAS PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2010-12-21",
        "status": "A",
        "authorized_official_last_name": "SALGUEIRO",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-736-2636",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MT ASCP"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Indigo Optical, LLC
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• Jezreelcitas
• Laboratorio Clinico El Shaddai,Inc.
• Laboratorio Clinico Hato Inc
• Laboratorio Clinico Paseo del Rio, LLC
• Krysia Maria Lago, FNP-C
• Lantigua Medical Center LLC
• Susana Elvira Lantigua Tejada, MD
• Jorge Lao

• Clinical Medical Laboratory in San Lorenzo, PR
• Providers in San Lorenzo, 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 Dec 21, 2010; 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.