Organization Active NPI

Laboratorio Clinico Garcia Inc

  • Clinical Medical Laboratory
  • Cabo Rojo, PR
National Provider Identifier
1780628453
Registry record updated Mar 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
348 Issued in PR
Legal business name
LABORATORIO CLINICO GARCIA INC
Practice address
21 Calle Ruiz Belvis
Cabo Rojo, PR 00623-4029
Phone
(787) 851-1362
Fax
(787) 851-1391
NPI assigned
Jun 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2012

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

Authorized official

Name
Nivia E Garcia, M.T.
Title
Director
Phone
(787) 851-1362

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 348 PR Primary

Addresses

Primary practice location

21 Calle Ruiz Belvis
Cabo Rojo, PR 00623-4029

Mailing address

Ruiz Belvis #21
PO Box 609
Cabo Rojo, PR 00623-0609
Phone (787) 851-1362

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120315000789 PR Part B Supplier - Independent Clinical Laboratory 9537328216 Practice locations: Cabo Rojo, PR

National Provider Directory

National Provider Directory

Locations

21 Calle Ruiz Belvis
Cabo Rojo, PR 00623
Phone (787) 255-3244

19 Calle Ruiz Belvis
Cabo Rojo, PR 00623
Phone (809) 851-1362

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331596800000",
    "number": "1780628453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RUIZ BELVIS #21",
            "address_2": "PO BOX 609",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "006230609",
            "telephone_number": "787-851-1362",
            "fax_number": "787-851-1391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 CALLE RUIZ BELVIS",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "006234029",
            "telephone_number": "787-851-1362",
            "fax_number": "787-851-1391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO GARCIA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2012-03-13",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "NIVIA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "787-851-1362",
        "authorized_official_credential": "M.T."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cabo Rojo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; 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.