Active NPI
Laboratorio Clinico El Yunque LLC
- Clinical Medical Laboratory
- Rio Grande, PR
National Provider Identifier
1881414795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- LABORATORIO CLINICO EL YUNQUE LLC
- Practice address
- Marginal Carr 3 KM 27.0, Local #4, Bo Jimenez
Rio Grande, PR 00745 - Phone
- (787) 377-3295
- NPI assigned
- Oct 15, 2024
- Last updated
- Mar 20, 2025
- 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
- Jelissa Vargas Roldan
- Title
- Medical Laboratory Scientist (MLS)
- Phone
- (787) 377-3295
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | NU | Primary |
Addresses
Primary practice location
Marginal Carr 3 KM 27.0, Local #4, Bo Jimenez
Rio Grande, PR 00745
Mailing address
496 Urb Los Arboles Pajuil a 29
Rio Grande, PR 00745
Phone (787) 377-3295
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250623001986 | PR | Part B Supplier - Independent Clinical Laboratory | 4880106228 | Practice locations: Rio Grande, PR |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728950400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1742428800000",
"number": "1881414795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "496 URB LOS ARBOLES PAJUIL A 29",
"city": "RIO GRANDE",
"state": "PR",
"postal_code": "00745",
"telephone_number": "787-377-3295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MARGINAL CARR 3 KM 27.0, LOCAL #4, BO JIMENEZ",
"city": "RIO GRANDE",
"state": "PR",
"postal_code": "00745",
"telephone_number": "787-377-3295"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LABORATORIO CLINICO EL YUNQUE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-15",
"last_updated": "2025-03-20",
"certification_date": "2025-03-20",
"status": "A",
"authorized_official_last_name": "VARGAS ROLDAN",
"authorized_official_first_name": "JELISSA",
"authorized_official_title_or_position": "MEDICAL LABORATORY SCIENTIST (MLS)",
"authorized_official_telephone_number": "787-377-3295"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rio Grande, PR
- Jose M Matos (Medi-Tech Orthopedics)
- Laboratorio Clinico Bio Tech II
- Laboratorio Clinico Bio Tech II, Inc
- Laboratorio Clinico Chegar Inc
- Laboratorio Clinico Chegar Inc
- Laboratorio Clinico Rio Grande, PSC
- Laboratorio Clinico Y de Ref de Fajardo Inc (Laboratorio Clinico CDT de Rio Grande)
- LBS Medical Service Corp
- Francisco P Leal, M.D.
- Jose Angel Leduc, TEM PARAMEDIC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; 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.