Active NPI
Laboratorio Clinico Oscar Inc
- Clinical Medical Laboratory
- Canovanas, PR
National Provider Identifier
1750076857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- LABORATORIO CLINICO OSCAR INC
- Practice address
- 58 Calle Corchado Juarbe
Canovanas, PR 00729 - Phone
- (787) 256-2015
- NPI assigned
- Apr 6, 2023
- 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
- Mrs. Danna Rodriguez
- Title
- Administradora
- Phone
- (787) 710-5290
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
58 Calle Corchado Juarbe
Canovanas, PR 00729
Mailing address
58 Calle Corchado Juarbe
Canovanas, PR 00729
Phone (787) 256-2015
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231027001357 | PR | Part B Supplier - Independent Clinical Laboratory | 4284080201 | Practice locations: Canovanas, PR |
National Provider Directory
National Provider DirectoryLocations
58 Calle Corchado
Canovanas, PR 00729
Phone (787) 256-2015
Practitioners & 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
- Canovanas, PR
- NPI 1588776181
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680739200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1693267200000",
"number": "1750076857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "58 CALLE CORCHADO JUARBE",
"city": "CANOVANAS",
"state": "PR",
"postal_code": "00729",
"telephone_number": "787-256-2015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "58 CALLE CORCHADO JUARBE",
"city": "CANOVANAS",
"state": "PR",
"postal_code": "00729",
"telephone_number": "787-256-2015"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LABORATORIO CLINICO OSCAR INC",
"organizational_subpart": "NO",
"enumeration_date": "2023-04-06",
"last_updated": "2023-08-29",
"certification_date": "2023-04-11",
"status": "A",
"authorized_official_last_name": "RODRIGUEZ",
"authorized_official_first_name": "DANNA",
"authorized_official_title_or_position": "ADMINISTRADORA",
"authorized_official_telephone_number": "787-710-5290",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canovanas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; 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.