Waxali Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

776 Issued in PR

Legal business name

WAXALI INC

Doing business as

Laboratorio Clinico Isla Centro Cedro Arriba

Practice address

Carretera 803 KM 10.3
Barrio Cedro Arriba
Naranjito, PR 00719-9722

Phone

(787) 869-1111

Fax

(787) 869-2318

NPI assigned

Sep 20, 2006

Organization subpart

Yes

Parent organization

WAXALI INCAs reported in NPPES

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

Authorized official

Name

Mr. Jose L Collazo Rosado, MT

Title

President Owner

Phone

(787) 869-1111

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Laboratorio Clinico Isla Centro Cedro Arriba Doing business as

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

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

• Waxali Inc

  dba Laboratorio Clinico Isla Centro Toa Alta

  • Clinical Medical Laboratory
  • Toa Alta, PR
  • NPI 1154603546

  O20070612000121

  Same enrollment
• Waxali Inc

  dba Laboratorio Clinico Isla Centro Naranjito

  • Clinical Medical Laboratory
  • Naranjito, PR
  • NPI 1508956319

  O20070612000121

  Same enrollment
• Waxali Inc

  dba Laboratorio Clinico Isla Centro Barranquitas

  • Clinical Medical Laboratory
  • Barranquitas, PR
  • NPI 1609184225

  O20070612000121

  Same enrollment

Tax ID family

Waxali Inc4 organizations share this tax ID, including this one

Part of

Waxali Inc

Other organizations with this tax ID 3

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

• Waxali Inc

  dba Laboratorio Clinico Isla Centro Toa Alta

  • Clinical Medical Laboratory
  • Toa Alta, PR
  • NPI 1154603546
  NPD tax ID
• Waxali Inc

  dba Laboratorio Clinico Isla Centro Naranjito

  • Clinical Medical Laboratory
  • Naranjito, PR
  • NPI 1508956319
  NPD tax ID
• Waxali Inc

  dba Laboratorio Clinico Isla Centro Barranquitas

  • Clinical Medical Laboratory
  • Barranquitas, PR
  • NPI 1609184225
  NPD tax ID

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285718400000",
    "number": "1801994900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 72 BOX 3954",
            "city": "NARANJITO",
            "state": "PR",
            "postal_code": "007198771",
            "telephone_number": "787-869-1111",
            "fax_number": "787-869-2318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA 803 KM 10.3",
            "address_2": "BARRIO CEDRO ARRIBA",
            "city": "NARANJITO",
            "state": "PR",
            "postal_code": "007199722",
            "telephone_number": "787-869-1111",
            "fax_number": "787-869-2318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAXALI INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WAXALI INC",
        "enumeration_date": "2006-09-20",
        "last_updated": "2010-09-29",
        "status": "A",
        "authorized_official_last_name": "COLLAZO ROSADO",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "787-869-1111",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "776",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE",
            "identifier": "776",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "40D0658158",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laboratorio Clinico Isla Centro Cedro Arriba",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Victor a. Rivera, Inc. (Farmacia San Miguel)
• Victor Vega Morales LLC
• Carla S Vilches, DC, OTR/L
• Walgreen Co (Walgreens #00811)
• Waxali Inc (Laboratorio Clinico Isla Centro Naranjito)
• Jalixa E Zayas Rivera
• Eloisa Zayas Sr., BA
• Ivette Zayas

• Clinical Medical Laboratory in Naranjito, PR
• Providers in Naranjito, 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 Sep 29, 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.