Organization Active NPI

Laboratorio Clinico Sunny Hills Inc.

  • Clinical Medical Laboratory
  • Bayamon, PR
National Provider Identifier
1821078205
Registry record updated Dec 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
LABORATORIO CLINICO SUNNY HILLS INC.
Practice address
Ave Santa Juanita B6 Altos
Urb Sunny Hills
Bayamon, PR 00956
Phone
(787) 778-0404
Fax
(787) 778-0405
NPI assigned
Jan 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2008

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

Authorized official

Name
Mrs. Serrano Adela
Title
Oficial de Facturacion
Phone
(787) 778-0404

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

Ave Santa Juanita B6 Altos
Urb Sunny Hills
Bayamon, PR 00956

Mailing address

Ave Santa Juanita B6 Altos
Urb Sunny Hills
Bayamon, PR 00956
Phone (787) 778-0404

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081118000173 PR Part B Supplier - Independent Clinical Laboratory 3971663147 Practice locations: Bayamon, PR

National Provider Directory

National Provider Directory

Locations

B6 Ave Santa Juanita
Bayamon, PR 00956
Phone (787) 269-2641

NPI Registry JSON

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228867200000",
    "number": "1821078205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AVE SANTA JUANITA B6 ALTOS",
            "address_2": "URB SUNNY HILLS",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00956",
            "telephone_number": "787-778-0404",
            "fax_number": "787-778-0405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE SANTA JUANITA B6 ALTOS",
            "address_2": "URB SUNNY HILLS",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00956",
            "telephone_number": "787-778-0404",
            "fax_number": "787-778-0405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO SUNNY HILLS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-20",
        "last_updated": "2008-12-10",
        "status": "A",
        "authorized_official_last_name": "ADELA",
        "authorized_official_first_name": "SERRANO",
        "authorized_official_title_or_position": "OFICIAL DE FACTURACION",
        "authorized_official_telephone_number": "787-778-0404",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2008; 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.