Organization Active NPI

Laboratorio Clinico Nazareth Inc

  • Clinical Medical Laboratory
  • Manati, PR
National Provider Identifier
1821368473
Registry record updated Jan 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
1103 Issued in PR
Legal business name
LABORATORIO CLINICO NAZARETH INC
Practice address
Carr # 2 KM 46.4 Barrio Campo Alegre
Edificio Las Vegas
Manati, PR 00674
Phone
(787) 884-5252
Fax
(787) 884-5252
NPI assigned
Jan 12, 2012
Last updated
Jan 12, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2012

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

Authorized official

Name
Jeanete Garcia Morales, M.T.
Title
President
Phone
(787) 884-5252

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 1103 PR Primary

Addresses

Primary practice location

Carr # 2 KM 46.4 Barrio Campo Alegre
Edificio Las Vegas
Manati, PR 00674

Mailing address

PO Box 2315
Manati, PR 00674-2315
Phone (787) 884-5252

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1326326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326326400000",
    "number": "1821368473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2315",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006742315",
            "telephone_number": "787-884-5252",
            "fax_number": "787-884-5252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR # 2 KM 46.4 BARRIO CAMPO ALEGRE",
            "address_2": "EDIFICIO LAS VEGAS",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "00674",
            "telephone_number": "787-884-5252",
            "fax_number": "787-884-5252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO NAZARETH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-12",
        "last_updated": "2012-01-12",
        "status": "A",
        "authorized_official_last_name": "GARCIA MORALES",
        "authorized_official_first_name": "JEANETE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-884-5252",
        "authorized_official_credential": "M.T."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "1103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manati, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.