Mt Laboratorio Clinico del Sur, Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

MT LABORATORIO CLINICO DEL SUR, INC

Practice address

8169 Calle Concordia Ste 3
Ponce, PR 00717-1555

Phone

(787) 505-1240

NPI assigned

Mar 14, 2018

Organization subpart

No

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

Authorized official

Name

Mariedi Sanchez

Title

Administrator/ Owner

Phone

(787) 505-1240

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1520985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520985600000",
    "number": "1861995011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 801176",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "007801176",
            "telephone_number": "787-505-1240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8169 CALLE CONCORDIA STE 3",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171555",
            "telephone_number": "787-505-1240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT LABORATORIO CLINICO DEL SUR, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-14",
        "last_updated": "2018-03-14",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "MARIEDI",
        "authorized_official_title_or_position": "ADMINISTRATOR/ OWNER",
        "authorized_official_telephone_number": "787-505-1240"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Morillo
• Paola Joelys Moro Velez
• Fabiola Nicole Moure Perez
• Ann Mozzer
• MPB Dental LLC
• Multy Medical Facilities, Corp
• Municipio Autonomo de Ponce
• Municipio de Ponce
• Solimar Muniz Acevedo
• Javier Muniz

• Clinical Medical Laboratory in Ponce, PR
• Providers in Ponce, 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 14, 2018; 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.