Active NPI
Mendez Laboratory Clinic Inc
- Clinical Medical Laboratory
- San Sebastian, PR
National Provider Identifier
1740823681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- MENDEZ LABORATORY CLINIC INC
- Practice address
- Plaza Anidem Local 4
Carr 447 KM 3.8 Aibonito Guerrero
San Sebastian, PR 00685 - Phone
- (787) 280-8571
- NPI assigned
- Oct 23, 2019
- 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
- Dr. Cristobal Ivan Mendez Ruiz, MD
- Title
- President
- Phone
- (787) 896-5738
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
Plaza Anidem Local 4
Carr 447 KM 3.8 Aibonito Guerrero
San Sebastian, PR 00685
Mailing address
HC 1 Box 11465
San Sebastian, PR 00685-9770
Phone (787) 896-5738
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Physician
- San Sebastian, PR
- NPI 1326244674
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571788800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1571788800000",
"number": "1740823681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 1 BOX 11465",
"city": "SAN SEBASTIAN",
"state": "PR",
"postal_code": "006859770",
"telephone_number": "787-896-5738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PLAZA ANIDEM LOCAL 4",
"address_2": "CARR 447 KM 3.8 AIBONITO GUERRERO",
"city": "SAN SEBASTIAN",
"state": "PR",
"postal_code": "00685",
"telephone_number": "787-280-8571"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MENDEZ LABORATORY CLINIC INC",
"organizational_subpart": "NO",
"enumeration_date": "2019-10-23",
"last_updated": "2019-10-23",
"status": "A",
"authorized_official_last_name": "MENDEZ RUIZ",
"authorized_official_first_name": "CRISTOBAL",
"authorized_official_middle_name": "IVAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "787-896-5738",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Sebastian, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.