Active NPI
Laboratorio Universitario, Inc.
- Clinical Medical Laboratory
- Bayamon, PR
National Provider Identifier
1780868679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 420
- Legal business name
- LABORATORIO UNIVERSITARIO, INC.
- Practice address
- Calle 2 J14
Urb. Hermanas Davila
Bayamon, PR 00959-5098 - Phone
- (787) 780-0611
- Fax
- (787) 780-0014
- NPI assigned
- Dec 27, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Yasmin L. Santiago, BS, MT, ASCP
- Title
- Owner
- Phone
- (787) 780-0611
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 420 | PR | Primary |
Addresses
Primary practice location
Calle 2 J14
Urb. Hermanas Davila
Bayamon, PR 00959-5098
Mailing address
B19 Calle Argos
Villas de Buena Vista
Bayamon, PR 00956-5939
Phone (787) 780-0611
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 420 | Other | PUERTO RICO LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080220000551 | PR | Part B Supplier - Independent Clinical Laboratory | 0345324935 | Practice locations: Bayamon, PR |
National Provider Directory
National Provider DirectoryLocations
J14 Calle 2
Bayamon, PR 00959
Phone (787) 778-5000
J12 Calle 2
Bayamon, PR 00959
Phone (787) 740-3999
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198713600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776902400000",
"number": "1780868679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "B19 CALLE ARGOS",
"address_2": "VILLAS DE BUENA VISTA",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009565939",
"telephone_number": "787-780-0611",
"fax_number": "787-780-0014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE 2 J14",
"address_2": "URB. HERMANAS DAVILA",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009595098",
"telephone_number": "787-780-0611",
"fax_number": "787-780-0014"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LABORATORIO UNIVERSITARIO, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-27",
"last_updated": "2026-04-23",
"certification_date": "2026-04-23",
"status": "A",
"authorized_official_last_name": "SANTIAGO",
"authorized_official_first_name": "YASMIN",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "787-780-0611",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "BS, MT, ASCP"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "PR",
"license": "420",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PUERTO RICO LICENSE",
"identifier": "420",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bayamon, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; 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.