Laboratorio Clinico Boqueron Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

803 Issued in PR

Legal business name

LABORATORIO CLINICO BOQUERON INC

Practice address

Calle Luis Munoz Rivera #63
Boqueron, PR 00622

Phone

(787) 254-2550

Fax

(787) 254-2550

NPI assigned

Oct 5, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Maria De Los Angeles Ocasio, M.T.NPI 1114196334

Title

President

Phone

(787) 254-2550

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• LABORATORIO CLINICO BOQUERON INC Former legal business name

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Tax ID family

Lab Clinico Boqueron2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Laboratorio Clinico Boqueron Inc,

  • Clinical Medical Laboratory
  • Boqueron, PR
  • NPI 1063842904
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maria De Los a Ocasio, MT

  • Medical Technologist
  • Boqueron, PR
  • NPI 1114196334
  NPD Authorized official

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376006400000",
    "number": "1841287752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 323",
            "city": "BOQUERON",
            "state": "PR",
            "postal_code": "006220323",
            "telephone_number": "787-254-2550",
            "fax_number": "787-254-2550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE LUIS MUNOZ RIVERA #63",
            "city": "BOQUERON",
            "state": "PR",
            "postal_code": "00622",
            "telephone_number": "787-254-2550",
            "fax_number": "787-254-2550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO BOQUERON INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-05",
        "last_updated": "2013-08-09",
        "status": "A",
        "authorized_official_last_name": "OCASIO",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "DE LOS ANGELES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-254-2550",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.T."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "803",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "40D0658031",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LABORATORIO CLINICO BOQUERON INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Fatima Camacho, RPH
• Ed S Pharmacy Corporation
• Farmacia Caldas
• Farmacia Cuquimar, Inc.
• Farmacia El Combate Inc
• Laboratorio Clinico Boqueron Inc,
• Pedro Antonio Mariani Molini Sr., MD
• Franky Mercado Leon, EMT
• Maria De Los a Ocasio, MT
• Sofia Paola Ramos

• Clinical Medical Laboratory in Boqueron, PR
• Providers in Boqueron, 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 Aug 9, 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.