Laboratorio Clinico Brumbaugh Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

367 Issued in PR

Legal business name

LABORATORIO CLINICO BRUMBAUGH INC

Practice address

Street Pinero #80
San Juan, PR 00925

Phone

(787) 763-5015

Fax

(787) 766-3251

NPI assigned

Apr 26, 2006

Last updated

Jan 15, 2020By 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

Mrs. Maria Isabel Nido, M.T.

Title

President

Phone

(787) 763-5015

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Member of 1

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

• Puerto Rico Community for Clinical Services, Research and Health

  dba PR CoNCRA

  • Multi-Specialty Clinic/Center
  • Rio Piedras, PR
  • NPI 1396776472

  Member Of

  NPD member

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579046400000",
    "number": "1760448849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "STREET # 1 C-1",
            "address_2": "SAN IGNACIO PARK",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00921",
            "telephone_number": "787-763-5015",
            "fax_number": "787-766-3251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "STREET PINERO #80",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00925",
            "telephone_number": "787-763-5015",
            "fax_number": "787-766-3251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO BRUMBAUGH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-26",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A",
        "authorized_official_last_name": "NIDO",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "ISABEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-763-5015",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.T."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSS",
            "identifier": "0030499",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MMM",
            "identifier": "800014",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laboratorio Clinico Barbosa Inc
• Laboratorio Clinico Borges
• Laboratorio Clinico Borges
• Laboratorio Clinico Borges II
• Laboratorio Clinico Borinquen-San Francisco
• Laboratorio Clinico C L a Inc (Lab Clinico Cla Inc)
• Laboratorio Clinico Caimito
• Laboratorio Clinico Caimito Inc
• Laboratorio Clinico Campo Rico ,Inc.
• Laboratorio Clinico CDT Dr. Arnaldo J Garcia

• 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 Jan 15, 2020; 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.