NPIMap

Organization Active NPI

Laboratorio Clinico Borinquen - Avenida Pavia Fernandez

  • Clinical Medical Laboratory
  • Santurce, PR
National Provider Identifier
1871600742
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
184 Issued in PR
Legal business name
LABORATORIO CLINICO BORINQUEN - AVENIDA PAVIA FERNANDEZ
Practice address
612 Calle Dr Pavia Fernandez
Esq Americo Salas
Santurce, PR 00909-2212
Phone
(787) 722-0337
Fax
(787) 722-1297
NPI assigned
Aug 24, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Kimberly Jean Whitlock
Title
Director
Phone
(787) 744-0330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 184 PR Primary

Addresses

Primary practice location

612 Calle Dr Pavia Fernandez
Esq Americo Salas
Santurce, PR 00909-2212

Mailing address

2 Calle Baldorioty
Caguas, PR 00725-2606
Phone (787) 744-0330

National Provider Directory

National Provider Directory
Tax ID family
Laboratorio Clinico Borinquen Quadrangle Medical Building6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871600742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CALLE BALDORIOTY",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007252606",
            "telephone_number": "787-744-0330",
            "fax_number": "787-744-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 CALLE DR PAVIA FERNANDEZ",
            "address_2": "ESQ AMERICO SALAS",
            "city": "SANTURCE",
            "state": "PR",
            "postal_code": "009092212",
            "telephone_number": "787-722-0337",
            "fax_number": "787-722-1297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO BORINQUEN - AVENIDA PAVIA FERNANDEZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WHITLOCK",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "787-744-0330",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santurce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.