Organization Active NPI

Laboratorio Clinico Clausells

  • Clinical Medical Laboratory
  • Ponce, PR
National Provider Identifier
1770581985
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
777 Issued in PR
Legal business name
LABORATORIO CLINICO CLAUSELLS
Practice address
333 Calle Victoria
Ponce, PR 00730-2860
Phone
(787) 841-1401
Fax
(787) 840-5901
NPI assigned
Jul 12, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. William Guzman Garcia
Title
Director
Phone
(787) 841-1401

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 777 PR Primary

Addresses

Primary practice location

333 Calle Victoria
Ponce, PR 00730-2860

Mailing address

333 Calle Victoria
Ponce, PR 00730-2860
Phone (787) 841-1401

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120327000361 PR Part B Supplier - Independent Clinical Laboratory 1557521796 Practice locations: Ponce, PR

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": "1121126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770581985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 CALLE VICTORIA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007302860",
            "telephone_number": "787-841-1401",
            "fax_number": "787-840-5901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 CALLE VICTORIA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007302860",
            "telephone_number": "787-841-1401",
            "fax_number": "787-840-5901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO CLAUSELLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "GUZMAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "787-841-1401",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.