Laboratorio Clinico Vista Azul, Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

620 Issued in PR

Legal business name

LABORATORIO CLINICO VISTA AZUL, INC

Practice address

D9 Calle Marginal
Urb. Vista Azul
Arecibo, PR 00612-2539

Phone

(787) 879-0539

Fax

(787) 879-0539

NPI assigned

Feb 1, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Cynthia E Quinones II, B.S.,M.T.,ASCP

Title

Director

Phone

(787) 879-0539

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811035140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 141678",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006141678",
            "telephone_number": "787-879-0539",
            "fax_number": "787-879-0539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "D9 CALLE MARGINAL",
            "address_2": "URB. VISTA AZUL",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006122539",
            "telephone_number": "787-879-0539",
            "fax_number": "787-879-0539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO VISTA AZUL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "QUINONES",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "787-879-0539",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "B.S.,M.T.,ASCP"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Arecibo, PR
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.