Nillian L Guzman Laboratorio Clinico Familiar

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

NILLIAN L GUZMAN LABORATORIO CLINICO FAMILIAR

Doing business as

Laboratorio Clinico Familiar

Practice address

Ave la Moca 202 Carr 111 KM 4.6
Suite 1 Moca Professional Center
Moca, PR 00676-0358

Phone

(787) 818-9028

Fax

(787) 818-9028

NPI assigned

Jan 10, 2006

Last updated

Jan 16, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nillian L Guzman

Title

Lab Owner

Phone

(787) 818-9028

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• LABORATORIO CLINICO FAMILIAR Doing business as

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705363200000",
    "number": "1851370803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 358",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "006760358",
            "telephone_number": "787-818-9028",
            "fax_number": "787-818-9028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE LA MOCA 202 CARR 111 KM 4.6",
            "address_2": "SUITE 1 MOCA PROFESSIONAL CENTER",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "006760358",
            "telephone_number": "787-818-9028",
            "fax_number": "787-818-9028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NILLIAN L GUZMAN LABORATORIO CLINICO FAMILIAR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-10",
        "last_updated": "2024-01-16",
        "certification_date": "2023-12-11",
        "status": "A",
        "authorized_official_last_name": "GUZMAN",
        "authorized_official_first_name": "NILLIAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "LAB OWNER",
        "authorized_official_telephone_number": "787-818-9028"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART B",
            "identifier": "30064",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "584212329",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCS",
            "identifier": "584212329",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LABORATORIO CLINICO FAMILIAR",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LABORATORIO CLINICO FAMILIAR",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Medical Laboratory in Moca, PR
• Providers in Moca, 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 Jan 16, 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.