Organization Active NPI

Laboratorio Clinico Las Antillas PSC

  • Clinical Medical Laboratory
  • Cayey, PR
National Provider Identifier
1760522437
Registry record updated Dec 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
590 Issued in PR
Legal business name
LABORATORIO CLINICO LAS ANTILLAS PSC
Practice address
Munoz Rivera 104 Sur
Cayey, PR 00736
Phone
(787) 738-2232
Fax
(787) 738-2288
NPI assigned
Feb 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2010

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

Authorized official

Name
Ms. Maria T Salgueiro, MT ASCP
Title
President
Phone
(787) 736-2636

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 590 PR Primary

Addresses

Primary practice location

Munoz Rivera 104 Sur
Cayey, PR 00736

Mailing address

PO Box 373097
Cayey, PR 00737-3097
Phone (787) 738-2232

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070628000105 PR Part B Supplier - Independent Clinical Laboratory 5193824308 1 other NPI on this enrollment
Practice locations: Cayey, PR; San Lorenzo, 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 Directory
Tax ID family
Lab Clinico Las Antillas2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

104 Ave Luis Munoz Rivera S
Cayey, PR 00736

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292889600000",
    "number": "1760522437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 373097",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "007373097",
            "telephone_number": "787-738-2232",
            "fax_number": "787-738-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MUNOZ RIVERA 104 SUR",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "00736",
            "telephone_number": "787-738-2232",
            "fax_number": "787-738-2288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO LAS ANTILLAS PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2010-12-21",
        "status": "A",
        "authorized_official_last_name": "SALGUEIRO",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-736-2636",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MT ASCP"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cayey, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2010; 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.