Laboratorio Clinico del Mar LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

928 Issued in PR

Legal business name

LABORATORIO CLINICO DEL MAR LLC

Practice address

Numero 6 Bloque Q
Urb San Demetrio
Vega Baja, PR 00693

Phone

(787) 858-8362

Fax

(787) 858-8362

NPI assigned

Mar 9, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Maria M Melendez

Title

President

Phone

(787) 858-8362

Specialties & licenses 1

Addresses

Other names 1

• LABORATORIO CLINICO DEL MAR, INC Former legal business name

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Laboratorio Clinico del Mar II

  • Clinical Medical Laboratory
  • Vega Baja, PR
  • NPI 1912039744

  O20120824000222

  Same enrollment
• Laboratorio Clinico del Mar L.L.C

  • Clinical Medical Laboratory
  • Manati, PR
  • NPI 1225028996

  O20120824000222

  Same enrollment
• Laboratorio Clinico del Mar LLC

  • Clinical Medical Laboratory
  • Vega Baja, PR
  • NPI 1700656527

  O20120824000222

  Same enrollment

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Laboratorio Clinico del Mar II

  • Clinical Medical Laboratory
  • Vega Baja, PR
  • NPI 1912039744

  Member Of

  NPD member

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1861524787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2221",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006742221",
            "telephone_number": "787-858-8362",
            "fax_number": "787-858-8362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NUMERO 6 BLOQUE Q",
            "address_2": "URB SAN DEMETRIO",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "00693",
            "telephone_number": "787-858-8362",
            "fax_number": "787-858-8362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO DEL MAR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2022-07-21",
        "certification_date": "2021-11-05",
        "status": "A",
        "authorized_official_last_name": "MELENDEZ",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-858-8362",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LABORATORIO CLINICO DEL MAR, INC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "LABORATORIO CLINICO DEL MAR, INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Laboratorio Clinico Almirante Norte Corp
• Laboratorio Clinico Alturas Inc.
• Laboratorio Clinico del Mar II
• Laboratorio Clinico del Mar LLC
• Laboratorio Clinico del Mar LLC
• Laboratorio Clinico El Rosario Inc
• Laboratorio Clinico Figueroa P S C
• Laboratorio Clinico Heg-Marr Inc
• Laboratorio Clinico Marbella, Inc
• Laboratorio Clinico Ocean Front Inc.

• Clinical Medical Laboratory in Vega Baja, PR
• Providers in Vega Baja, 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 Jul 21, 2022; 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.