Laboratorio Clinico Metabolico Corp.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

061 Issued in PR

Legal business name

LABORATORIO CLINICO METABOLICO CORP.

Practice address

1507 Calle Prof Augusto Rodriguez
San Juan, PR 00909-2214

Phone

(787) 723-2807

Fax

(787) 723-2807

NPI assigned

Jul 30, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Juan B Rivera

Title

President

Phone

(787) 723-2807

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Centro Ararat, Inc.

  • Multi-Specialty Clinic/Center
  • Ponce, PR
  • NPI 1376612788

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740009600000",
    "number": "1750396347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "757 AVE HIPODROMO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009092510",
            "telephone_number": "787-723-2807",
            "fax_number": "787-723-2807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 CALLE PROF AUGUSTO RODRIGUEZ",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009092214",
            "telephone_number": "787-723-2807",
            "fax_number": "787-723-2807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO METABOLICO CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-723-2807",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laboratorio Clinico la Merced Inc
• Laboratorio Clinico Magdalena Inc.
• Laboratorio Clinico Margarita
• Laboratorio Clinico Martin II, Inc.
• Laboratorio Clinico Mayaguez
• Laboratorio Clinico Michelsan Inc
• Laboratorio Clinico Miramar Inc
• Laboratorio Clinico Montehiedra Inc.
• Laboratorio Clinico Noy Inc
• Laboratorio Clinico Profesional San Miguel

• 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 Feb 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.