NPIMap

Organization Active NPI

Lab Clinico Irizarry Guasch Inc

  • Clinical Medical Laboratory
  • Mayaguez, PR
National Provider Identifier
1861620494
Registry record updated Jun 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
1189 Issued in PR
Legal business name
LAB CLINICO IRIZARRY GUASCH INC
Practice address
Carr 108 KM 2.9
Mayaguez, PR 00680-0000
Phone
(787) 806-1676
Fax
(787) 806-1675
NPI assigned
Jun 22, 2009
Last updated
Jun 22, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2009

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

Authorized official

Name
Mr. Jose R Sanchez
Title
Presidente
Phone
(787) 899-7222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 1189 PR Primary

Addresses

Primary practice location

Carr 108 KM 2.9
Mayaguez, PR 00680-0000

Mailing address

PO Box 125
Lajas, PR 00667-0125
Phone (787) 899-7222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070906000500 PR Part B Supplier - Independent Clinical Laboratory 3476646597 23 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Mayaguez, PR; Ponce, PR; Sabana Grande, PR; Salinas, PR; San Sebastian, PR; Santa Isabel, PR; Yauco, PR; San German, PR…

Other NPIs on the same Medicare enrollment 23

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

View all 23

National Provider Directory

National Provider Directory
Tax ID family
Lab Clinico Irizarry Guasch26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

Organizations that report the same tax identification number in the National Provider Directory.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1245628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245628800000",
    "number": "1861620494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 125",
            "city": "LAJAS",
            "state": "PR",
            "postal_code": "006670125",
            "telephone_number": "787-899-7222",
            "fax_number": "787-899-1861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 108 KM 2.9",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006800000",
            "telephone_number": "787-806-1676",
            "fax_number": "787-806-1675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAB CLINICO IRIZARRY GUASCH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-22",
        "last_updated": "2009-06-22",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "787-899-7222",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "1189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2009; 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.