Active NPI
Laboratorio Clinico RQ, LLC
- Clinical Medical Laboratory
- Isabela, PR
National Provider Identifier
1841052933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- LABORATORIO CLINICO RQ, LLC
- Practice address
- Carr 112 KM 5.3
Isabela, PR 00662-6043 - Phone
- (787) 872-5942
- NPI assigned
- Jan 25, 2024
- Last updated
- Jan 25, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Roberto Antonio Cardona-Quinones, MD
- Title
- Member
- Phone
- (787) 209-1599
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | NU | Primary |
Addresses
Primary practice location
Carr 112 KM 5.3
Isabela, PR 00662-6043
Mailing address
496 Carr 112
Isabela, PR 00662-6043
Phone (787) 872-5942
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240430002116 | PR | Part B Supplier - Independent Clinical Laboratory | 2062852668 | Practice locations: Isabela, PR |
National Provider Directory
National Provider DirectoryLocations
496 Carr 112
#53
Isabela, PR 00662
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Behavioral Neurology & Neuropsychiatry Physician
- Grand Rapids, MI
- NPI 1437702420
-
- Clinical Medical Laboratory
- Isabela, PR
- NPI 1235398876
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706140800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1706140800000",
"number": "1841052933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "496 CARR 112",
"city": "ISABELA",
"state": "PR",
"postal_code": "006626043",
"telephone_number": "787-872-5942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR 112 KM 5.3",
"city": "ISABELA",
"state": "PR",
"postal_code": "006626043",
"telephone_number": "787-872-5942"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LABORATORIO CLINICO RQ, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-25",
"last_updated": "2024-01-25",
"certification_date": "2024-01-22",
"status": "A",
"authorized_official_last_name": "CARDONA-QUINONES",
"authorized_official_first_name": "ROBERTO",
"authorized_official_middle_name": "ANTONIO",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "787-209-1599",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Isabela, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.