Individual provider Active NPI

Lilly Jadette Torres

  • Clinical Medical Laboratory
  • Ponce, PR
National Provider Identifier
1790951085
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
714 Issued in PR
Practice address
Parc El Tuque 523 Calle Ramos Antonini Ste 1
Laboratorio Clinico El Tuque
Ponce, PR 00728-4811
Phone
(787) 259-1339
Fax
(787) 259-1339
NPI assigned
May 6, 2008
Last updated
May 14, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 714 PR Primary
Medical Technologist 246QM0706X 1920 PR
Clinical Laboratory Director (Non-physician) 247ZC0005X PR

Addresses

Primary practice location

Parc El Tuque 523 Calle Ramos Antonini Ste 1
Laboratorio Clinico El Tuque
Ponce, PR 00728-4811

Mailing address

Parc El Tuque 523 Calle Ramos Antonini Ste 1
Laboratorio Clinico El Tuque
Ponce, PR 00728-4811
Phone (787) 259-1339

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1920PRMDGroup Psychotherapy Psychologist
714PRMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
Laboratorio Clinico El Tuque, Inc Clinical Medical Laboratory Current Accepting new patients

Locations

523 Calle Ramos Antonini
Ste 1
Ponce, PR 00728
Phone (787) 259-1339

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210723200000",
    "number": "1790951085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PARC EL TUQUE 523 CALLE RAMOS ANTONINI STE 1",
            "address_2": "LABORATORIO CLINICO EL TUQUE",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007284811",
            "telephone_number": "787-259-1339",
            "fax_number": "787-259-1339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PARC EL TUQUE 523 CALLE RAMOS ANTONINI STE 1",
            "address_2": "LABORATORIO CLINICO EL TUQUE",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007284811",
            "telephone_number": "787-259-1339",
            "fax_number": "787-259-1339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORRES",
        "first_name": "LILLY",
        "middle_name": "JADETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-06",
        "last_updated": "2008-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "714",
            "primary": true
        },
        {
            "code": "246QM0706X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology, Medical Technologist",
            "state": "PR",
            "license": "1920",
            "primary": false
        },
        {
            "code": "247ZC0005X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
            "state": "PR",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; 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.