Active NPI
Laboratorio Clinico Beauchamp
- Clinical Medical Laboratory
- Florida, PR
National Provider Identifier
1750484135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 831
- Legal business name
- LABORATORIO CLINICO BEAUCHAMP
- Practice address
- 10 Dr Vazquez Colon
Florida, PR 00650 - Phone
- (787) 822-3364
- Fax
- (787) 822-3364
- NPI assigned
- Sep 7, 2006
- 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
- Carmen D Beauchamp, BSMT
- Title
- Director
- Phone
- (787) 822-0081
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 831 | PR | Primary |
Addresses
Primary practice location
10 Dr Vazquez Colon
Florida, PR 00650
Mailing address
10 Dr Vazquez Colon
Florida, PR 00650
Phone (787) 822-3364
Other identifiers 17
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 011831 | Other | GLOBAL HEALTH | |
| 051580 | Other | CRUZ AZUL | |
| 584683972 | Other | HAPFRE | |
| 584683972 | Other | MMM MCS | |
| 950 | Other | APS | |
| 20042 | Other | AMERICAN HEALTH | |
| 21723 | Other | AHPR | |
| 584683972 | Other | MMM COSVI | |
| 20012 | Other | MMMPMC | |
| 584683972 | Other | CORVI | |
| 6500008 | Other | HUMANA | |
| 800084 | Other | MMM | |
| 1126 | Other | IMC | |
| 400367 | Other | UTI | |
| 584683972 | Other | PR | MCS |
| 6006523 | Other | ACAA | |
| 30827 | Other | PR | SSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080514000535 | PR | Part B Supplier - Independent Clinical Laboratory | 7416026646 |
1 other NPI on this enrollment Practice locations: Florida, PR |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryLocations
4 Calle Dr Vazquez
Florida, PR 00650
Phone (787) 822-3364
10 Calle Dr Vazquez
Florida, PR 00650
Phone (787) 822-3364
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1380153600000",
"number": "1750484135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 DR VAZQUEZ COLON",
"city": "FLORIDA",
"state": "PR",
"postal_code": "00650",
"telephone_number": "787-822-3364",
"fax_number": "787-822-3364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 DR VAZQUEZ COLON",
"city": "FLORIDA",
"state": "PR",
"postal_code": "00650",
"telephone_number": "787-822-3364",
"fax_number": "787-822-3364"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LABORATORIO CLINICO BEAUCHAMP",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-07",
"last_updated": "2013-09-26",
"status": "A",
"authorized_official_last_name": "BEAUCHAMP",
"authorized_official_first_name": "CARMEN",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "787-822-0081",
"authorized_official_credential": "BSMT"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "PR",
"license": "831",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GLOBAL HEALTH",
"identifier": "011831",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRUZ AZUL",
"identifier": "051580",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HAPFRE",
"identifier": "584683972",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MMM MCS",
"identifier": "584683972",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APS",
"identifier": "950",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN HEALTH",
"identifier": "20042",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AHPR",
"identifier": "21723",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MMM COSVI",
"identifier": "584683972",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MMMPMC",
"identifier": "20012",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CORVI",
"identifier": "584683972",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "6500008",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MMM",
"identifier": "800084",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IMC",
"identifier": "1126",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UTI",
"identifier": "400367",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCS",
"identifier": "584683972",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACAA",
"identifier": "6006523",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SSS",
"identifier": "30827",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Florida, PR
- Carolyn Gonzalez, BS - SPEECH THERAPY
- Juan L Gonzalez, NL
- Horario Extendido Ipa 021
- Gerald Jomar Irizarry Laureano
- Glorimell Jimenez Santiago, MAESTRIA
- Laboratorio Clinico del Centro
- Lcda Lezlie Lopez Dietista - Nutricionista
- Maldonado Premium Health LLC
- Management Integrated Solutions
- Management Integrated Solutions
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2013; 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.