Laboratorio Clinico Caribe Medical Plaza,Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

772 Issued in PR

Legal business name

LABORATORIO CLINICO CARIBE MEDICAL PLAZA,INC.

Practice address

Carr#2,Marginal#1,Urb.Santa Rita
Edificio Caribe Medical Plaza Suite 101
Vega Alta, PR 00692-1360

Phone

(787) 883-0915

Fax

(787) 883-1085

NPI assigned

Dec 29, 2006

Organization subpart

No

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

Authorized official

Name

Maria Luisa Rodriguez, M.T.

Title

Owner,Laboratory Supervisor

Phone

(787) 883-0915

Specialties & licenses 1

Addresses

Other names 2

• LABORATORIO CLINICO CARIBE MEDICAL PLAZA Former legal business name
• LABORATORIO CLINICO CARIBE MEDICAL PLAZA, INC. 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": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766448000000",
    "number": "1841356367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1360",
            "city": "VEGA ALTA",
            "state": "PR",
            "postal_code": "006921360",
            "telephone_number": "787-883-0915",
            "fax_number": "787-883-1085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR#2,MARGINAL#1,URB.SANTA RITA",
            "address_2": "EDIFICIO CARIBE MEDICAL PLAZA SUITE 101",
            "city": "VEGA ALTA",
            "state": "PR",
            "postal_code": "006921360",
            "telephone_number": "787-883-0915",
            "fax_number": "787-883-1085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO CARIBE MEDICAL PLAZA,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "LUISA",
        "authorized_official_title_or_position": "OWNER,LABORATORY SUPERVISOR",
        "authorized_official_telephone_number": "787-883-0915",
        "authorized_official_credential": "M.T."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LABORATORIO CLINICO CARIBE MEDICAL PLAZA",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "LABORATORIO CLINICO CARIBE MEDICAL PLAZA, INC.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Clinical Medical Laboratory in Vega Alta, PR
• Providers in Vega Alta, 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 Dec 23, 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.