Active NPI
Laboratorio Clinico Yaucano Inc.
- Clinical Medical Laboratory
- Yauco, PR
National Provider Identifier
1871673939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 314
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080503000051 | PR | Part B Supplier - Independent Clinical Laboratory | 1456430354 | Practice locations: Yauco, PR |
National Provider Directory
National Provider DirectoryLocations
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
- Laboratorio Clinico C & C , CSP
- Laboratorio Clinico Catala & Vicente Inc.
- Laboratorio Clinico Catala Vicente
- Laboratorio Clinico Irizarry Guasch Inc
- Laboratorio Clinico Rosa E Ortiz,P.S.C.
- Laboratorio Torres Antommattei
- Las Trinitarias, Inc
- Juan F Legarreta, RPH
- Liam Medical Transport LLC
- Liza M. Montes Santiago Dba Innova Lab
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.