Organization Active NPI

Laboratorio Clinico Obymar

  • Clinical Medical Laboratory
  • Moca, PR
National Provider Identifier
1760563563
Registry record updated Jan 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
LABORATORIO CLINICO OBYMAR
Practice address
Carreterra 420 KM 0.4 Barrio Voladoras
Moca, PR 00676
Phone
(787) 818-1325
Fax
(787) 818-1325
NPI assigned
Oct 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2015

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

Authorized official

Name
Mrs. Vanessa Hernandez, MEDICAL TECHNOLOGYNPI 1851568794
Title
Medical Technology Porpietaria
Phone
(787) 818-1325

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

Carreterra 420 KM 0.4 Barrio Voladoras
Moca, PR 00676

Mailing address

PO Box 47
Isabela, PR 00662-0047
Phone (787) 818-1325

Other identifiers 16

IdentifierTypeStateIssuer
6606Z8944OtherCIGNA HEALTHCARE
6606Z8944OtherCRUZ AZUL
6606Z8944OtherMCS
6606Z8944OtherBELLA VISTA
6606Z8944OtherTRICARE
6606Z8944OtherAETNA
6606Z8944OtherMAMPRE
6606Z8944OtherHUMANA HEALTH
6606Z8944OtherAMERICAN HEALTH
6606Z8944OtherCOSVI
6606Z8944OtherMCS REFORMA
6606Z8944OtherFIRST PLUS
6606Z8944OtherHUMANA INSURANCE
6606Z8944OtherINTERNATIONAL MEDICALCAID
6606Z8944OtherPAN AMERICAN
6606Z8944OtherOPTION HEALTHCARE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422230400000",
    "number": "1760563563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 47",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006620047",
            "telephone_number": "787-818-1325",
            "fax_number": "787-818-1325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERRA 420 KM 0.4 BARRIO VOLADORAS",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "00676",
            "telephone_number": "787-818-1325",
            "fax_number": "787-818-1325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO OBYMAR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2015-01-26",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_title_or_position": "MEDICAL TECHNOLOGY PORPIETARIA",
        "authorized_official_telephone_number": "787-818-1325",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MEDICAL TECHNOLOGY"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTHCARE",
            "identifier": "6606Z8944",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRUZ AZUL",
            "identifier": "6606Z8944",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCS",
            "identifier": "6606Z8944",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BELLA VISTA",
            "identifier": "6606Z8944",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "6606Z8944",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "6606Z8944",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMPRE",
            "identifier": "6606Z8944",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA HEALTH",
            "identifier": "6606Z8944",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN HEALTH",
            "identifier": "6606Z8944",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COSVI",
            "identifier": "6606Z8944",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCS REFORMA",
            "identifier": "6606Z8944",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PLUS",
            "identifier": "6606Z8944",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA INSURANCE",
            "identifier": "6606Z8944",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERNATIONAL MEDICALCAID",
            "identifier": "6606Z8944",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PAN AMERICAN",
            "identifier": "6606Z8944",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTION HEALTHCARE",
            "identifier": "6606Z8944",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moca, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.