Laboratorio Clinico Y de Referencia de Fajardo, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

850 Issued in PR

Legal business name

LABORATORIO CLINICO Y DE REFERENCIA DE FAJARDO, INC.

Practice address

303 General Valero Ave
Fajardo, PR 00738-7006

Phone

(787) 885-0813

Fax

(787) 885-0831

NPI assigned

Apr 13, 2007

Organization subpart

Yes

Parent organization

LABORATORIO CLINICO Y DE REFERENCIA DE FAJARDO, INC.As reported in NPPES

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

Authorized official

Name

Dr. Sara Lopez, MD

Title

Director

Phone

(787) 885-0813

Specialties & licenses 1

Addresses

Other names 1

• Laboratorio Clinico San Fernando Doing business as

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Laboratorio Clinico Y de Ref de Fajardo Inc

  • Clinical Medical Laboratory
  • Fajardo, PR
  • NPI 1689724866

  O20071112000003

  Same enrollment
• Laboratorio Clinico Y de Referencia de Fajardo, Inc.

  • Clinical Medical Laboratory
  • Vieques, PR
  • NPI 1063636546

  O20071112000003

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Laboratorio Clinico Y de Referencia de Fajardo Inc3 organizations share this tax ID, including this one

Part of

Laboratorio Clinico Y de Referencia de Fajardo Inc

Other organizations with this tax ID 2

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

• Laboratorio Clinico Y de Ref de Fajardo Inc

  • Clinical Medical Laboratory
  • Fajardo, PR
  • NPI 1689724866
  NPD tax ID
• Laboratorio Clinico Y de Referencia de Fajardo, Inc.

  • Clinical Medical Laboratory
  • Vieques, PR
  • NPI 1063636546
  NPD tax ID

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Laboratorio Clinico Y de Ref de Fajardo Inc

  • Clinical Medical Laboratory
  • Rio Grande, PR
  • NPI 1639908643

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193270400000",
    "number": "1790909265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 AVE LAURO PINERO",
            "city": "CEIBA",
            "state": "PR",
            "postal_code": "007352737",
            "telephone_number": "787-885-0813",
            "fax_number": "787-885-0831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 GENERAL VALERO AVE",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "007387006",
            "telephone_number": "787-885-0813",
            "fax_number": "787-885-0831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO Y DE REFERENCIA DE FAJARDO, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LABORATORIO CLINICO Y DE REFERENCIA DE FAJARDO, INC.",
        "enumeration_date": "2007-04-13",
        "last_updated": "2007-10-25",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "787-885-0813",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laboratorio Clinico San Fernando",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laboratorio Clinico Birriel LLC
• Laboratorio Clinico Fajardo, Inc.
• Laboratorio Clinico Monte Sol, LLC
• Laboratorio Clinico Paoli, Inc
• Laboratorio Clinico Y de Ref de Fajardo Inc
• Laboratorio Clinico Y de Referencia Puerto del Rey, LLC
• Yaritza Larregui, PHARMD, RPH
• Sugei Laureano, M.T.
• Adria Lebron Ayala, MD
• Ledesma Medical Ambulance LLC

• Clinical Medical Laboratory in Fajardo, PR
• Providers in Fajardo, 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 Oct 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.