Laboratorio Clinico Mayaguez

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

930 Issued in PR

Legal business name

LABORATORIO CLINICO MAYAGUEZ

Practice address

142 Calle Mayaguez
Perez Morris
San Juan, PR 00917-5117

Phone

(787) 274-0551

Fax

(787) 274-0551

NPI assigned

Mar 4, 2007

Organization subpart

No

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

Authorized official

Name

Eneida A Martinez, MT

Title

Owner

Phone

(787) 274-0551

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1172966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341878400000",
    "number": "1821127150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 CALLE MAYAGUEZ",
            "address_2": "PEREZ MORRIS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009175117",
            "telephone_number": "787-274-0551",
            "fax_number": "163-073-3367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 CALLE MAYAGUEZ",
            "address_2": "PEREZ MORRIS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009175117",
            "telephone_number": "787-274-0551",
            "fax_number": "787-274-0551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO MAYAGUEZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-04",
        "last_updated": "2012-07-10",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "ENEIDA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-274-0551",
        "authorized_official_credential": "MT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laboratorio Clinico la Cumbre, Inc
• Laboratorio Clinico la Merced Inc
• Laboratorio Clinico Magdalena Inc.
• Laboratorio Clinico Margarita
• Laboratorio Clinico Martin II, Inc.
• Laboratorio Clinico Metabolico Corp.
• Laboratorio Clinico Michelsan Inc
• Laboratorio Clinico Miramar Inc
• Laboratorio Clinico Montehiedra Inc.
• Laboratorio Clinico Noy Inc

• Clinical Medical Laboratory in San Juan, PR
• Providers in San Juan, 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 Jul 10, 2012; 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.