Laboratorio Clinico Elena LLC

Primary specialty

Clinical Laboratory Director (Non-physician)Taxonomy code 247ZC0005X

Legal business name

LABORATORIO CLINICO ELENA LLC

Practice address

Ave Padre Noel Esq Hostos Num 33
Ponce, PR 00716-1324

Phone

(787) 651-6058

Fax

(787) 651-6059

NPI assigned

Oct 7, 2021

Last updated

Oct 7, 2021By 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

Maria E Rodriguez, MEDICAL TECHNOLOGY

Title

Administrator

Phone

(787) 696-9146

Specialties & licenses 1

Addresses

Other names 1

• Laboratorio Clinico Elena LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

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

{
    "created_epoch": "1633564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633564800000",
    "number": "1831851740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "TABAIBA TOWER APARTMENTS 259",
            "address_2": "CALLE CAGUANA APT. 104",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007161324",
            "telephone_number": "787-651-6059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE PADRE NOEL ESQ HOSTOS NUM 33",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007161324",
            "telephone_number": "787-651-6058",
            "fax_number": "787-651-6059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO ELENA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-07",
        "last_updated": "2021-10-07",
        "certification_date": "2021-09-23",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-696-9146",
        "authorized_official_credential": "MEDICAL TECHNOLOGY"
    },
    "taxonomies": [
        {
            "code": "247ZC0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laboratorio Clinico Elena LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Clinical Laboratory Director (Non-physician) in Ponce, PR
• Providers in Ponce, PR by specialty
• Clinical Laboratory Director (Non-physician) in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; 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.