Organization Active NPI

Laboratorio Clinico Mendez

  • Clinical Medical Laboratory
  • Moca, PR
National Provider Identifier
1851365902
Registry record updated Oct 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
560 Issued in PR
Legal business name
LABORATORIO CLINICO MENDEZ
Practice address
Calle Juan San Antonio #205
Edificio Bozques Oficina #3
Moca, PR 00676
Phone
(787) 877-8300
Fax
(787) 877-8300
NPI assigned
Feb 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2019

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

Authorized official

Name
Hernan F Sanche Rodriguez, MEDICAL TECHNOLOGIST
Title
Owner Laboratorio Clinico Mendez
Phone
(787) 877-8300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 560 PR Primary

Addresses

Primary practice location

Calle Juan San Antonio #205
Edificio Bozques Oficina #3
Moca, PR 00676

Mailing address

205 Calle Juan San Antonio
Edificio Bozques Oficina #3
Moca, PR 00676-4144
Phone (787) 877-8300

Other names 1

  • LABORATORIO MENDEZ Other name

National Provider Directory

National Provider Directory

Locations

205 Calle Juan San Antonio
Ste 3
Moca, PR 00676
Phone (787) 877-8300

NPI Registry JSON

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570752000000",
    "number": "1851365902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 CALLE JUAN SAN ANTONIO",
            "address_2": "EDIFICIO BOZQUES OFICINA #3",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "006764144",
            "telephone_number": "787-877-8300",
            "fax_number": "787-877-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE JUAN SAN ANTONIO #205",
            "address_2": "EDIFICIO BOZQUES OFICINA #3",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "00676",
            "telephone_number": "787-877-8300",
            "fax_number": "787-877-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO MENDEZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-15",
        "last_updated": "2019-10-11",
        "status": "A",
        "authorized_official_last_name": "SANCHE RODRIGUEZ",
        "authorized_official_first_name": "HERNAN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER LABORATORIO CLINICO MENDEZ",
        "authorized_official_telephone_number": "787-877-8300",
        "authorized_official_credential": "MEDICAL TECHNOLOGIST"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LABORATORIO MENDEZ",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "LABORATORIO MENDEZ",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Moca, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.