Active NPI
Laboratorio Clinico Salimar LLC
- Clinical Medical Laboratory
- Salinas, PR
National Provider Identifier
1851809008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 518
- Legal business name
- LABORATORIO CLINICO SALIMAR LLC
- Practice address
- 12 Calle Palmer
Salinas, PR 00751 - Phone
- (787) 824-2845
- Fax
- (787) 824-6921
- NPI assigned
- Jan 22, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Delma Rodriguez
- Title
- Administrator
- Phone
- (787) 824-2845
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 518 | PR | Primary |
Addresses
Primary practice location
12 Calle Palmer
Salinas, PR 00751
Mailing address
PO Box 1298
Salinas, PR 00751-1298
Phone (787) 824-2845
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180723001121 | PR | Part B Supplier - Independent Clinical Laboratory | 7416204409 | Practice locations: Salinas, PR |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516579200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1516579200000",
"number": "1851809008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1298",
"city": "SALINAS",
"state": "PR",
"postal_code": "007511298",
"telephone_number": "787-824-2845",
"fax_number": "787-824-6921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 CALLE PALMER",
"city": "SALINAS",
"state": "PR",
"postal_code": "00751",
"telephone_number": "787-824-2845",
"fax_number": "787-824-6921"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LABORATORIO CLINICO SALIMAR LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-01-22",
"last_updated": "2018-01-22",
"status": "A",
"authorized_official_last_name": "RODRIGUEZ",
"authorized_official_first_name": "DELMA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "787-824-2845"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "PR",
"license": "518",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salinas, PR
- JZ Life Care EMS Corp
- La Monserrate 2220 LLC
- Laboratorio Clinico Ana Camila
- Laboratorio Clinico El Coco Inc
- Laboratorio Clinico Irizarry Guasch Inc
- Laboratorio Clinico Salinas Inc
- Laboratorio Clinico Salinas Inc
- Laracuente Professional LLC
- Felix Jose Laracuente
- Lorna Lebron Lebron II, CLINICAL SOCIAL WORK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2018; 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.