Active NPI
Laboratorio Garcia Corporation
- Clinical Medical Laboratory
- Anasco, PR
National Provider Identifier
1831251677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 514
- Legal business name
- LABORATORIO GARCIA CORPORATION
- Practice address
- 67 Calle 65 de Infanteria
Anasco, PR 00610 - Phone
- (787) 826-2360
- Fax
- (787) 826-6822
- NPI assigned
- Dec 15, 2006
- Last updated
- May 20, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Maricelly Garcia, BSMT
- Title
- General Supervisor
- Phone
- (787) 826-2360
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 514 | PR | Primary |
Addresses
Primary practice location
67 Calle 65 de Infanteria
Anasco, PR 00610
Mailing address
PO Box 540
Anasco, PR 00610-0540
Phone (787) 826-2360
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40D0693411 | Other | PR | CLIA |
Other names 1
- Laboratorio Garcia Corp.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070213000518 | PR | Part B Supplier - Independent Clinical Laboratory | 5294737797 | Practice locations: Anasco, PR |
National Provider Directory
National Provider DirectoryLocations
67 Calle 65 Infanteria
Ste B102
Anasco, PR 00610
Phone (787) 826-2360
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166140800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1400544000000",
"number": "1831251677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 540",
"city": "ANASCO",
"state": "PR",
"postal_code": "006100540",
"telephone_number": "787-826-2360",
"fax_number": "787-826-6822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "67 CALLE 65 DE INFANTERIA",
"city": "ANASCO",
"state": "PR",
"postal_code": "00610",
"telephone_number": "787-826-2360",
"fax_number": "787-826-6822"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LABORATORIO GARCIA CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-15",
"last_updated": "2014-05-20",
"status": "A",
"authorized_official_last_name": "GARCIA",
"authorized_official_first_name": "MARICELLY",
"authorized_official_title_or_position": "GENERAL SUPERVISOR",
"authorized_official_telephone_number": "787-826-2360",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "BSMT"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "PR",
"license": "514",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA",
"identifier": "40D0693411",
"state": "PR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Laboratorio Garcia Corp.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Anasco, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2014; 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.