Laboratorio Clinico Islamar, Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

40D2065068 Issued in NU

Legal business name

LABORATORIO CLINICO ISLAMAR, INC

Practice address

Carretera PR-3 Int. Carretera PR-178
Centro Comercial Cooperativo Maunacoop, Suite P-4
Arroyo, PR 00714

Phone

(787) 271-3636

NPI assigned

Oct 24, 2013

Last updated

Oct 24, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gerardo Antonio Hernandez, PHD, MT

Title

Director

Phone

(787) 685-0174

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Hernandez Buitrago & Sons Inc

  dba Laboratorio Clinico Guayama

  • Clinical Medical Laboratory
  • Guayama, PR
  • NPI 1982824066

  Member Of

  NPD member

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

{
    "created_epoch": "1382572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382572800000",
    "number": "1831527100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2308",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "00785",
            "telephone_number": "787-271-3636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA PR-3 INT. CARRETERA PR-178",
            "address_2": "CENTRO COMERCIAL COOPERATIVO MAUNACOOP, SUITE P-4",
            "city": "ARROYO",
            "state": "PR",
            "postal_code": "00714",
            "telephone_number": "787-271-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO ISLAMAR, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-24",
        "last_updated": "2013-10-24",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "GERARDO",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "787-685-0174",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, MT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": "40D2065068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hospital Lafayette
• Inmobiliaria Cruz Feliciano (Farmacia Feliciano 3)
• Taisha N Iraola
• J & Y Med Serv Inc
• Keep Dry Corporation
• Laboratorio Clinico Morse Inc.
• Laboratorio Clinico Trixymar
• Laboratorio Clinico Trixymar Jardines de Arroyo
• LC Optical Vision Center
• Lebron Medical Care Inc

• Clinical Medical Laboratory in Arroyo, PR
• Providers in Arroyo, 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 Oct 24, 2013; 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.