NPIMap

Organization Active NPI

Laboratorio Clinico Jerico, Inc.

  • Clinical Medical Laboratory
  • San German, PR
National Provider Identifier
1780956151
Registry record updated Feb 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
0328 Issued in PR
Legal business name
LABORATORIO CLINICO JERICO, INC.
Practice address
39 Calle Dr Veve
San German, PR 00683-4191
Phone
(787) 892-5565
NPI assigned
Feb 1, 2012
Organization subpart
Yes
Parent organization
LABORATORIO CLINICO JERICOAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 1, 2012

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

Authorized official

Name
Francis Mercado
Title
President
Phone
(787) 851-1007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 0328 PR Primary

Addresses

Primary practice location

39 Calle Dr Veve
San German, PR 00683-4191

Mailing address

30 Calle Salvador Brau
Cabo Rojo, PR 00623-3417
Phone (787) 851-1007

National Provider Directory

National Provider Directory
Tax ID family
Empresas Jerico Inc2 organizations share this tax ID, including this one
Part of
Empresas Jerico Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

39 Calle Dr Santiago Veve
San German, PR 00683
Phone (787) 892-5565

NPI Registry JSON

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

{
    "created_epoch": "1328054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328054400000",
    "number": "1780956151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 CALLE SALVADOR BRAU",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "006233417",
            "telephone_number": "787-851-1007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 CALLE DR VEVE",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "006834191",
            "telephone_number": "787-892-5565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO JERICO, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LABORATORIO CLINICO JERICO",
        "enumeration_date": "2012-02-01",
        "last_updated": "2012-02-01",
        "status": "A",
        "authorized_official_last_name": "MERCADO",
        "authorized_official_first_name": "FRANCIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-851-1007"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "0328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San German, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2012; 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.