Laboratorio Clinico Hato Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

1349 Issued in PR

Legal business name

LABORATORIO CLINICO HATO INC

Practice address

Carr 183 KM 7.7
Bo Hato
San Lorenzo, PR 00754

Phone

(787) 715-4488

Fax

(787) 715-4488

NPI assigned

Dec 13, 2016

Last updated

Feb 16, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Jessica Nieves Melendez, BS

Title

Tecnologa Medico

Phone

(787) 715-4488

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

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

{
    "created_epoch": "1481587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487203200000",
    "number": "1740724517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC-03 BOX 12216",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00987",
            "telephone_number": "787-715-4488",
            "fax_number": "787-715-4488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 183 KM 7.7",
            "address_2": "BO HATO",
            "city": "SAN LORENZO",
            "state": "PR",
            "postal_code": "00754",
            "telephone_number": "787-715-4488",
            "fax_number": "787-715-4488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO HATO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-13",
        "last_updated": "2017-02-16",
        "status": "A",
        "authorized_official_last_name": "NIEVES MELENDEZ",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "TECNOLOGA MEDICO",
        "authorized_official_telephone_number": "787-715-4488",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "1349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Feb 16, 2017; 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.