Laboratorio San Rafael 2000 Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

00683 Issued in PR

Legal business name

LABORATORIO SAN RAFAEL 2000 INC

Practice address

113 Calle Emilio Gonzalez
Isabela, PR 00662-2656

Phone

(787) 872-4330

Fax

(787) 872-4330

NPI assigned

Nov 24, 2006

Organization subpart

No

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

Authorized official

Name

Yolanda Arias

Title

Administrator

Phone

(787) 872-4330

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 1

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

• Noelia Nieves

  • Clinical Medical Laboratory
  • Quebradillas, PR
  • NPI 1639341878
  NPD (past)

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423094400000",
    "number": "1780759696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1365",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006621365",
            "telephone_number": "787-872-4330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 CALLE EMILIO GONZALEZ",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006622656",
            "telephone_number": "787-872-4330",
            "fax_number": "787-872-4330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO SAN RAFAEL 2000 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-24",
        "last_updated": "2015-02-05",
        "status": "A",
        "authorized_official_last_name": "ARIAS",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-872-4330"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "00683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Isabela, PR
• Providers in Isabela, 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 Feb 5, 2015; 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.