Organization Active NPI

Laboratorio Cima Humacao, Inc

  • Clinical Medical Laboratory
  • Humacao, PR
National Provider Identifier
1871819466
Registry record updated May 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
LABORATORIO CIMA HUMACAO, INC
Practice address
23 Padre Rivera
Humacao, PR 00791
Phone
(787) 852-5544
Fax
(787) 893-1839
NPI assigned
Apr 8, 2010
Last updated
May 5, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2010

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

Authorized official

Name
Juan M Cintron Maldonado
Title
President
Phone
(787) 893-5544

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

23 Padre Rivera
Humacao, PR 00791

Mailing address

PO Box 243
Yabucoa, PR 00767
Phone (787) 893-5544

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110302000948 PR Part B Supplier - Independent Clinical Laboratory 3072795673 Practice locations: Humacao, PR

National Provider Directory

National Provider Directory

Locations

23 Calle Padre Rivera E
Humacao, PR 00791
Phone (787) 852-5544

NPI Registry JSON

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

{
    "created_epoch": "1270684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273017600000",
    "number": "1871819466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 243",
            "city": "YABUCOA",
            "state": "PR",
            "postal_code": "00767",
            "telephone_number": "787-893-5544",
            "fax_number": "787-893-1839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 PADRE RIVERA",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "00791",
            "telephone_number": "787-852-5544",
            "fax_number": "787-893-1839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CIMA HUMACAO, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-08",
        "last_updated": "2010-05-05",
        "status": "A",
        "authorized_official_last_name": "CINTRON MALDONADO",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-893-5544"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humacao, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2010; 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.