Active NPI
Laboratorio Clinico Profesional Emanuel - Rio Canas
- Clinical Medical Laboratory
- Juana Diaz, PR
National Provider Identifier
1821534009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- LABORATORIO CLINICO PROFESIONAL EMANUEL - RIO CANAS
- Practice address
- Carr. PR 14, KM 18.3
Bo. Tijeras
Juana Diaz, PR 00795 - Phone
- (787) 580-0080
- Fax
- (787) 580-0081
- NPI assigned
- Jan 12, 2017
- Organization subpart
- Yes
- Parent organization
- LABORATORIO CLINICO PROFESIONAL EMANUEL INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Gregorio Torres
- Title
- President
- Phone
- (787) 212-0119
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
Carr. PR 14, KM 18.3
Bo. Tijeras
Juana Diaz, PR 00795
Mailing address
Mansion del Sur
64 Ceiba Street
Coto Laurel, PR 00780-2086
Phone (787) 212-0119
Other practice location 1
Carr PR 14 KM 11.4
Juana Diaz, PR 00795
Phone (787) 212-0119
Other practice location 2
Carr 149 Km 63.9 Bo Guayabal
Marginal 191
Juana Diaz, PR 00795
Phone (787) 260-5504
Other names 1
- Laboratorio Clinico Rio Canas
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060823000414 | PR | Part B Supplier - Independent Clinical Laboratory | 3779586268 |
2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Juana Diaz, PR |
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Clinical Medical Laboratory
- Juana Diaz, PR
- NPI 1124095286
O20060823000414
-
- Clinical Medical Laboratory
- Juana Diaz, PR
- NPI 1831802511
O20060823000414
National Provider Directory
National Provider Directory- Tax ID family
- Laboratorio Clinico Profesional Emanuel-Jacaguas
- Part of
- Laboratorio Clinico Profesional Emanuel-Jacaguas
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Medical Laboratory
- Juana Diaz, PR
- NPI 1124095286
-
- Clinical Medical Laboratory
- Juana Diaz, PR
- NPI 1831802511
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Clinical Medical Laboratory
- Juana Diaz, PR
- NPI 1124095286
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484179200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1756771200000",
"number": "1821534009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "MANSION DEL SUR",
"address_2": "64 CEIBA STREET",
"city": "COTO LAUREL",
"state": "PR",
"postal_code": "007802086",
"telephone_number": "787-212-0119",
"fax_number": "787-837-8041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR. PR 14, KM 18.3",
"address_2": "BO. TIJERAS",
"city": "JUANA DIAZ",
"state": "PR",
"postal_code": "00795",
"telephone_number": "787-580-0080",
"fax_number": "787-580-0081"
}
],
"practiceLocations": [
{
"address_1": "CARR PR 14 KM 11.4",
"address_purpose": "LOCATION",
"city": "JUANA DIAZ",
"state": "PR",
"postal_code": "00795",
"country_code": "US",
"telephone_number": "787-212-0119",
"fax_number": "787-680-0884",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "Carr 149 Km 63.9 Bo Guayabal",
"address_2": "Marginal 191",
"address_purpose": "LOCATION",
"city": "Juana Diaz",
"state": "PR",
"postal_code": "00795",
"country_code": "US",
"telephone_number": "787-260-5504",
"fax_number": "787-837-8041",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "LABORATORIO CLINICO PROFESIONAL EMANUEL - RIO CANAS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LABORATORIO CLINICO PROFESIONAL EMANUEL INC",
"enumeration_date": "2017-01-12",
"last_updated": "2025-09-02",
"certification_date": "2025-07-10",
"status": "A",
"authorized_official_last_name": "TORRES",
"authorized_official_first_name": "GREGORIO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "787-212-0119",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Laboratorio Clinico Rio Canas",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Juana Diaz, PR
- Laboratorio Clinico Cayabo, LLC
- Laboratorio Clinico Irizarry Guasch Inc
- Laboratorio Clinico Jelmap
- Laboratorio Clinico Juanadino
- Laboratorio Clinico la Fe LLC
- Laboratorio Clinico Profesional Emanuel Inc
- Laboratorio Clinico Profesional Emanuel-Jacaguas
- Laboratorio Clinico Silmend
- Laboratorio Medico E Industrial del Sur, Corp.
- Laboratorio Sagrada Familia Corp.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; 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.