Organization Active NPI

Laboratorio Clinico Y Bacteriologico Maunabo, Inc.

  • Clinical Medical Laboratory
  • Maunabo, PR
National Provider Identifier
1851660203
Registry record updated Dec 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
597 Issued in PR
Legal business name
LABORATORIO CLINICO Y BACTERIOLOGICO MAUNABO, INC.
Practice address
21 Calle Antonio R Barcelo
Maunabo, PR 00707-2141
Phone
(787) 861-0100
Fax
(787) 861-3156
NPI assigned
Dec 14, 2011
Last updated
Dec 14, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2011

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

Authorized official

Name
Hector L RuizNPI 1346417565
Title
President/Laboratory Director
Phone
(787) 861-0100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 597 PR Primary

Addresses

Primary practice location

21 Calle Antonio R Barcelo
Maunabo, PR 00707-2141

Mailing address

21 Calle Antonio R Barcelo
Maunabo, PR 00707-2141
Phone (787) 861-0100

National Provider Directory

National Provider Directory

Locations

21 Calle Antonio R Barcelo
Maunabo, PR 00707
Phone (787) 861-0100

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1323820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323820800000",
    "number": "1851660203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 CALLE ANTONIO R BARCELO",
            "city": "MAUNABO",
            "state": "PR",
            "postal_code": "007072141",
            "telephone_number": "787-861-0100",
            "fax_number": "787-861-3156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 CALLE ANTONIO R BARCELO",
            "city": "MAUNABO",
            "state": "PR",
            "postal_code": "007072141",
            "telephone_number": "787-861-0100",
            "fax_number": "787-861-3156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO Y BACTERIOLOGICO MAUNABO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-14",
        "last_updated": "2011-12-14",
        "status": "A",
        "authorized_official_last_name": "RUIZ",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT/LABORATORY DIRECTOR",
        "authorized_official_telephone_number": "787-861-0100"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maunabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2011; 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.