Organization Active NPI

Laboratorio Clinico Montellano Inc

  • Clinical Medical Laboratory
  • Cayey, PR
National Provider Identifier
1821136359
Registry record updated Mar 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
958 Issued in PR
Legal business name
LABORATORIO CLINICO MONTELLANO INC
Practice address
Ave Antonio R Barcelo
Carr. #14 KM.72.3
Cayey, PR 00736-3717
Phone
(787) 738-1920
NPI assigned
Feb 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2008

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

Authorized official

Name
Miss Janette Figueroa
Title
President
Phone
(787) 738-1920

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 958 PR Primary

Addresses

Primary practice location

Ave Antonio R Barcelo
Carr. #14 KM.72.3
Cayey, PR 00736-3717

Mailing address

PO Box 6400
PMB 379
Cayey, PR 00737-6400
Phone (787) 738-1920

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080507000135 PR Part B Supplier - Independent Clinical Laboratory 8426137134 Practice locations: Cayey, PR

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205366400000",
    "number": "1821136359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6400",
            "address_2": "PMB 379",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "007376400",
            "telephone_number": "787-738-1920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE ANTONIO R BARCELO",
            "address_2": "CARR. #14 KM.72.3",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "007363717",
            "telephone_number": "787-738-1920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO MONTELLANO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2008-03-13",
        "status": "A",
        "authorized_official_last_name": "FIGUEROA",
        "authorized_official_first_name": "JANETTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-738-1920",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cayey, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.