Organization Active NPI

Laboratorio Los Robles Inc

  • Clinical Medical Laboratory
  • San Juan, PR
National Provider Identifier
1831264654
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
40D0669530 Issued in PR
Legal business name
LABORATORIO LOS ROBLES INC
Practice address
Ave Americo Miranda 334 Villa Nevarez
San Juan, PR 00927
Phone
(787) 758-8235
Fax
(787) 758-6404
NPI assigned
Nov 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Authorized official

Name
Mrs. Adelis Rivera, MT
Title
Owner
Phone
(787) 758-8235

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 40D0669530 PR Primary

Addresses

Primary practice location

Ave Americo Miranda 334 Villa Nevarez
San Juan, PR 00927

Mailing address

Ave Americo Miranda 334 Villa Nevarez
San Juan, PR 00927
Phone (787) 758-8235

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080508000606 PR Part B Supplier - Independent Clinical Laboratory 9335228808 Practice locations: San Juan, PR

National Provider Directory

National Provider Directory

Locations

334 Calle 32
#C
San Juan, PR 00927
Phone (787) 758-8235

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785888000000",
    "number": "1831264654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AVE AMERICO MIRANDA 334 VILLA NEVAREZ",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00927",
            "telephone_number": "787-758-8235",
            "fax_number": "787-758-6404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE AMERICO MIRANDA 334 VILLA NEVAREZ",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00927",
            "telephone_number": "787-758-8235",
            "fax_number": "787-758-6404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO LOS ROBLES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "ADELIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-758-8235",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "40D0669530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; 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.