San Juan Medical Laboratory

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

710 Issued in PR

Legal business name

SAN JUAN MEDICAL LABORATORY

Practice address

150 Ave de Diego
Edificio San Juan Health Centre
San Juan, PR 00907-2300

Phone

(787) 722-5636

Fax

(787) 722-5637

NPI assigned

Aug 21, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Pedro Jaime Beauchamp II, M.D.

Title

Owner

Phone

(787) 722-5636

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740396050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "M3 CALLE CLAVEL",
            "address_2": "PARQUES DE SANTA MARIA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009276738",
            "telephone_number": "787-722-5636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 AVE DE DIEGO",
            "address_2": "EDIFICIO SAN JUAN HEALTH CENTRE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009072300",
            "telephone_number": "787-722-5636",
            "fax_number": "787-722-5637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN JUAN MEDICAL LABORATORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BEAUCHAMP",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_middle_name": "JAIME",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-722-5636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• San Juan Endodontics PSC
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• San Juan Medical Assoc PSC
• San Juan Medical Imaging
• San Juan Medical Pharmacy
• San Juan Nephrology P.S.C.
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• Clinical Medical Laboratory in San Juan, PR
• Providers in San Juan, 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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.