Jaru Lab Management Corp

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

711 Issued in PR

Legal business name

JARU LAB MANAGEMENT CORP

Doing business as

Laboratorio Clinico Paseo Dorado

Practice address

576 Cesar Gonzalez Ofi 101C
Adler Medical Plaza
San Juan, PR 00918-3757

Phone

(787) 766-1464

Fax

(787) 773-0766

NPI assigned

Oct 21, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Josefino Nieves

Title

President

Phone

(787) 458-9015

Specialties & licenses 1

Addresses

Other names 1

• Laboratorio Clinico Paseo Dorado Doing business as

Locations

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

{
    "created_epoch": "1445385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459814400000",
    "number": "1770955411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "576 CALLE CESAR GONZALEZ",
            "address_2": "ADLER MEDICAL PLAZA OFI 101-C",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183756",
            "telephone_number": "787-766-1464",
            "fax_number": "787-773-0766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "576 CESAR GONZALEZ OFI 101C",
            "address_2": "ADLER MEDICAL PLAZA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183757",
            "telephone_number": "787-766-1464",
            "fax_number": "787-773-0766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JARU LAB MANAGEMENT CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-21",
        "last_updated": "2016-04-05",
        "status": "A",
        "authorized_official_last_name": "NIEVES",
        "authorized_official_first_name": "JOSEFINO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-458-9015",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laboratorio Clinico Paseo Dorado",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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 Apr 5, 2016; 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.