NPIMap

Organization Active NPI

Health Laboratories Services Inc

Doing business as Laboratorio Clinico San Miguel

  • Clinical Medical Laboratory
  • Trujillo Alto, PR
National Provider Identifier
1790810182
Registry record updated Aug 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
1024 Issued in PR
Legal business name
HEALTH LABORATORIES SERVICES INC
Doing business as
Laboratorio Clinico San Miguel
Practice address
Plaza San Miguel Local 203 2DO Piso
Expreso Trujillo Alto KM. 4.4
Trujillo Alto, PR 00976
Phone
(787) 283-3881
Fax
(787) 283-3881
NPI assigned
Feb 23, 2007
Last updated
Aug 6, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2010

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

Authorized official

Name
Mrs. Myrta Lopez de Victoria
Title
President
Phone
(787) 762-4786

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 1024 PR Primary

Addresses

Primary practice location

Plaza San Miguel Local 203 2DO Piso
Expreso Trujillo Alto KM. 4.4
Trujillo Alto, PR 00976

Mailing address

PO Box 3310
Carolina, PR 00984-3310
Phone (787) 762-4786

Other identifiers 12

IdentifierTypeStateIssuer
20097OtherPRAMERICAN HEALTH PROV #
40411OtherPRMCS EXCLUSIVE PROV #
30932SAOtherPRTRIPLE S PROV #
9760037OtherPRHUMANA PROV #
048755405OtherPRCOSVI PROV #
400474OtherPRUTI PREFERRED PROV #
20115DOtherPRPMC PROV #
052230OtherPRCRUZ AZUL PROV #
660487506OtherPRCOSVI MED PROV #
800062OtherPRMMM HEALTHCARE PROV #
8462OtherPRIMC PROV #
LA-0519OtherPRPALIC PROV #

Other names 1

  • LABORATORIO CLINICO SAN MIGUEL Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120315000634 PR Part B Supplier - Independent Clinical Laboratory 3173612884 Practice locations: Trujillo Alto, PR

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Health Lab Serv Inc9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281052800000",
    "number": "1790810182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3310",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009843310",
            "telephone_number": "787-762-4786",
            "fax_number": "787-752-3360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PLAZA SAN MIGUEL LOCAL 203 2DO PISO",
            "address_2": "EXPRESO TRUJILLO ALTO KM. 4.4",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "00976",
            "telephone_number": "787-283-3881",
            "fax_number": "787-283-3881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH LABORATORIES SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2010-08-06",
        "status": "A",
        "authorized_official_last_name": "LOPEZ DE VICTORIA",
        "authorized_official_first_name": "MYRTA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-762-4786",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "1024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN HEALTH PROV #",
            "identifier": "20097",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCS EXCLUSIVE PROV #",
            "identifier": "40411",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S PROV #",
            "identifier": "30932SA",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA PROV #",
            "identifier": "9760037",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COSVI PROV #",
            "identifier": "048755405",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UTI PREFERRED PROV #",
            "identifier": "400474",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PMC PROV #",
            "identifier": "20115D",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRUZ AZUL PROV #",
            "identifier": "052230",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COSVI MED PROV #",
            "identifier": "660487506",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MMM HEALTHCARE PROV #",
            "identifier": "800062",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IMC PROV #",
            "identifier": "8462",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALIC PROV #",
            "identifier": "LA-0519",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LABORATORIO CLINICO SAN MIGUEL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Trujillo Alto, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2010; 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.