NPIMap

Organization Active NPI

Laboratorio Clinico Irizarry Guasch Inc

  • Clinical Medical Laboratory
  • Coamo, PR
National Provider Identifier
1841022191
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
LABORATORIO CLINICO IRIZARRY GUASCH INC
Practice address
21 Calle Baldorioty
Coamo, PR 00769-2412
Phone
(787) 825-4140
Fax
(787) 899-1861
NPI assigned
Aug 15, 2024
Last updated
Aug 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Authorized official

Name
Mrs. Nilsa I Irizarry Guasch
Title
Secretary
Phone
(787) 899-7223

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU Primary

Addresses

Primary practice location

21 Calle Baldorioty
Coamo, PR 00769-2412

Mailing address

PO Box 593
Lajas, PR 00667-0593
Phone (787) 899-7223

Other names 1

  • Laboratorio Clinico Irizarry Guasch Inc Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070906000500 PR Part B Supplier - Independent Clinical Laboratory 3476646597 23 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Mayaguez, PR; Ponce, PR; Sabana Grande, PR; Salinas, PR; San Sebastian, PR; Santa Isabel, PR; Yauco, PR; San German, PR…

Other NPIs on the same Medicare enrollment 23

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

View all 23

National Provider Directory

National Provider Directory
Tax ID family
Lab Clinico Irizarry Guasch26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

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

View all 25

Locations

21 Calle Baldorioty
Coamo, PR 00769
Phone (787) 825-4140

NPI Registry JSON

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

{
    "created_epoch": "1723680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723680000000",
    "number": "1841022191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 593",
            "city": "LAJAS",
            "state": "PR",
            "postal_code": "006670593",
            "telephone_number": "787-899-7223",
            "fax_number": "787-899-1861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 CALLE BALDORIOTY",
            "city": "COAMO",
            "state": "PR",
            "postal_code": "007692412",
            "telephone_number": "787-825-4140",
            "fax_number": "787-899-1861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO IRIZARRY GUASCH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-15",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A",
        "authorized_official_last_name": "IRIZARRY GUASCH",
        "authorized_official_first_name": "NILSA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "787-899-7223",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laboratorio Clinico Irizarry Guasch Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Coamo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.