Ashford Endocrine & Metabolic Laboratory Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

130 Issued in PR

Legal business name

ASHFORD ENDOCRINE & METABOLIC LABORATORY INC

Doing business as

Ashford Medical Laboratory

Practice address

29 Washington Street
Suite 210
San Juan, PR 00907

Phone

(787) 724-6816

Fax

(787) 724-7693

NPI assigned

Dec 1, 2006

Last updated

Aug 24, 2010By 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

Mrs. Yolanda Colon

Title

Administrator

Phone

(787) 452-9504

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Ashford Medical Laboratory Doing business as

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": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282608000000",
    "number": "1851469613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 WASHINGTON STREET",
            "address_2": "SUITE 210",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00907",
            "telephone_number": "787-724-6816",
            "fax_number": "787-724-7693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 WASHINGTON STREET",
            "address_2": "SUITE 210",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00907",
            "telephone_number": "787-724-6816",
            "fax_number": "787-724-7693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHFORD ENDOCRINE & METABOLIC LABORATORY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2010-08-24",
        "status": "A",
        "authorized_official_last_name": "COLON",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-452-9504",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "130",
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "40D0658241",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "4000658241",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ashford Medical Laboratory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jorge Eduardo Asenjo
• Sheila Michelle Ashby Vila, MD
• Ashford Chiropractic Clinic LLC
• Ashford Dental (Omar Cruz)
• Ashford Dental PSC
• Ashford Gastroenterology Services
• Ashford Medical Center Radiology Offices PSC
• Ashford Oral & Maxillofacial Surgery LLC
• Ashford Pediatric Group Partnership
• Ashford Periodontics and Implants PSC

• Clinical Medical Laboratory in San Juan, PR
• Providers in San Juan, 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 24, 2010; 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.