Lab Clinico CDT Minillas

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

LAB CLINICO CDT MINILLAS

Practice address

Lomas Verdes 3-22 Ave Laurel
Bayamon, PR 00956

Phone

(787) 798-5175

Fax

(787) 778-1505

NPI assigned

Nov 4, 2005

Organization subpart

No

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

Authorized official

Name

Sylvia Cabrera-Otero, MT MD MDH FAAPP

Title

Medical Director

Phone

(787) 310-9436

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831180017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "LOMAS VERDES 3-22 AVE LAUREL",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009595183",
            "telephone_number": "787-798-5175",
            "fax_number": "787-778-1505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LOMAS VERDES 3-22 AVE LAUREL",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00956",
            "telephone_number": "787-798-5175",
            "fax_number": "787-778-1505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAB CLINICO CDT MINILLAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CABRERA-OTERO",
        "authorized_official_first_name": "SYLVIA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "787-310-9436",
        "authorized_official_credential": "MT MD MDH FAAPP"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Bayamon, PR
• Providers in Bayamon, 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 Aug 22, 2020; 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.