NPIMap

Organization Active NPI

Laboratorio Clinico Profesional Emanuel-Jacaguas

  • Clinical Medical Laboratory
  • Juana Diaz, PR
National Provider Identifier
1831802511
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
LABORATORIO CLINICO PROFESIONAL EMANUEL-JACAGUAS
Practice address
Carr PR-14 KM 11.4
Juana Diaz, PR 00795
Phone
(787) 212-0119
Fax
(787) 680-0884
NPI assigned
Dec 28, 2022
Organization subpart
Yes
Parent organization
LABORATORIO CLINICO PROFESIONAL EMANUEL INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Authorized official

Name
Mr. Gregorio Torres, MT
Title
President
Phone
(787) 212-0119

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

Carr PR-14 KM 11.4
Juana Diaz, PR 00795

Mailing address

Mansion del Sur
64 Ceiba Street
Coto Laurel, PR 00780-2086
Phone (787) 212-0119

Other practice location 1

Carr PR 149 KM 63.9 Marginal 191
Juana Diaz, PR 00795
Phone (787) 212-0119

Other practice location 2

Carr PR 14 KM 18.3
Juana Diaz, PR 00795
Phone (787) 212-0119

Other names 1

  • LABORATORIO CLINICO PROFESIONAL EMANUEL-JACAGUAS Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060823000414 PR Part B Supplier - Independent Clinical Laboratory 3779586268 2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Juana Diaz, PR

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Laboratorio Clinico Profesional Emanuel-Jacaguas3 organizations share this tax ID, including this one
Part of
Laboratorio Clinico Profesional Emanuel-Jacaguas

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1672185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752105600000",
    "number": "1831802511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MANSION DEL SUR",
            "address_2": "64 CEIBA STREET",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "007802086",
            "telephone_number": "787-212-0119",
            "fax_number": "787-837-8041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR PR-14 KM 11.4",
            "city": "JUANA DIAZ",
            "state": "PR",
            "postal_code": "00795",
            "telephone_number": "787-212-0119",
            "fax_number": "787-680-0884"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "CARR PR 149 KM 63.9 MARGINAL 191",
            "address_purpose": "LOCATION",
            "city": "JUANA DIAZ",
            "state": "PR",
            "postal_code": "00795",
            "country_code": "US",
            "telephone_number": "787-212-0119",
            "fax_number": "787-837-8041",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "CARR PR 14 KM 18.3",
            "address_purpose": "LOCATION",
            "city": "JUANA DIAZ",
            "state": "PR",
            "postal_code": "00795",
            "country_code": "US",
            "telephone_number": "787-212-0119",
            "fax_number": "787-580-0081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LABORATORIO CLINICO PROFESIONAL EMANUEL-JACAGUAS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LABORATORIO CLINICO PROFESIONAL EMANUEL INC",
        "enumeration_date": "2022-12-28",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A",
        "authorized_official_last_name": "TORRES",
        "authorized_official_first_name": "GREGORIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-212-0119",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LABORATORIO CLINICO PROFESIONAL EMANUEL-JACAGUAS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LABORATORIO CLINICO PROFESIONAL EMANUEL-JACAGUAS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Juana Diaz, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; 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.