Laboratorio San Rafael

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

00399 Issued in PR

Legal business name

LABORATORIO SAN RAFAEL

Practice address

109 Calle San Carlos
Quebradillas, PR 00678-1737

Phone

(787) 895-2333

Fax

(787) 895-2333

NPI assigned

Nov 15, 2006

Organization subpart

No

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

Authorized official

Name

Noelia Nieves

Title

Director

Phone

(787) 895-2333

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206489600000",
    "number": "1861564700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 CALLE SAN CARLOS",
            "city": "QUEBRADILLAS",
            "state": "PR",
            "postal_code": "006781737",
            "telephone_number": "787-895-2333",
            "fax_number": "787-895-2333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 CALLE SAN CARLOS",
            "city": "QUEBRADILLAS",
            "state": "PR",
            "postal_code": "006781737",
            "telephone_number": "787-895-2333",
            "fax_number": "787-895-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO SAN RAFAEL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2008-03-26",
        "status": "A",
        "authorized_official_last_name": "NIEVES",
        "authorized_official_first_name": "NOELIA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "787-895-2333"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "00399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laboratorio Clinico Monroig
• Laboratorio Clinico San Antonio
• Laboratorio Clinico Shaddai PSC
• Laboratorio Clinico Shalom Corporation
• Laboratorio Clinico Sofia LLC
• Laboratorio San Rafael Quebradillas, Inc.
• Laboratorio San Rafael Quebradillas, Inc.
• Lcsa LLC
• Le Vista Corp.
• Zaimary Liciaga Lopez, PSYD

• Clinical Medical Laboratory in Quebradillas, PR
• Providers in Quebradillas, 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 Mar 26, 2008; 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.