Organization Active NPI

Laboratorio Clinico Yaucano Inc.

  • Clinical Medical Laboratory
  • Yauco, PR
National Provider Identifier
1871673939
Registry record updated Mar 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
314 Issued in PR
Legal business name
LABORATORIO CLINICO YAUCANO INC.
Doing business as
Tecnolab
Practice address
65 Calle Comercio
Yauco, PR 00698
Phone
(787) 856-5853
Fax
(787) 267-4101
NPI assigned
Oct 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2008

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

Authorized official

Name
Mrs. Ilsenid Roig, MT
Title
President
Phone
(787) 856-5853

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 314 PR Primary

Addresses

Primary practice location

65 Calle Comercio
Yauco, PR 00698

Mailing address

PO Box 1519
Yauco, PR 00698
Phone (787) 856-5853

Other names 1

  • Tecnolab Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080503000051 PR Part B Supplier - Independent Clinical Laboratory 1456430354 Practice locations: Yauco, PR

National Provider Directory

National Provider Directory

Locations

65 Calle Comercio
Yauco, PR 00698
Phone (787) 267-8777

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205366400000",
    "number": "1871673939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1519",
            "city": "YAUCO",
            "state": "PR",
            "postal_code": "00698",
            "telephone_number": "787-856-5853",
            "fax_number": "787-267-4101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 CALLE COMERCIO",
            "city": "YAUCO",
            "state": "PR",
            "postal_code": "00698",
            "telephone_number": "787-856-5853",
            "fax_number": "787-267-4101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO YAUCANO INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2008-03-13",
        "status": "A",
        "authorized_official_last_name": "ROIG",
        "authorized_official_first_name": "ILSENID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-856-5853",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tecnolab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yauco, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; 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.