Organization Active NPI

Laboratorio Garcia Corporation

  • Clinical Medical Laboratory
  • Anasco, PR
National Provider Identifier
1831251677
Registry record updated May 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
514 Issued in PR
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, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2014

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
40D0693411OtherPRCLIA

Other names 1

  • Laboratorio Garcia Corp. Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070213000518 PR Part B Supplier - Independent Clinical Laboratory 5294737797 Practice locations: Anasco, PR

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.