Active NPI
Esg Group LLC
- Clinical Medical Laboratory
- Barranquitas, PR
National Provider Identifier
1891773347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 806
- Legal business name
- ESG GROUP LLC
- Practice address
- 3 Calle Barcelo
Suite 217 Plaza San Cristobal
Barranquitas, PR 00794-1709 - Phone
- (787) 857-7777
- Fax
- (787) 857-3792
- NPI assigned
- Jan 5, 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
- Eugenio Rivera Rios
- Title
- Director
- Phone
- (787) 374-5715
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 806 | PR | Primary |
Addresses
Primary practice location
3 Calle Barcelo
Suite 217 Plaza San Cristobal
Barranquitas, PR 00794-1709
Mailing address
3 Calle Barcelo
Ste 217 Plaza San Cristobal
Barranquitas, PR 00794-1709
Phone (787) 857-7777
Other names 1
- LABORATORIO CLINICO SAN CRISTOBAL
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231110000005 | PR | Part B Supplier - Independent Clinical Laboratory | 2668829706 | Practice locations: Barranquitas, PR |
National Provider Directory
National Provider DirectoryLocations
3 Calle Barcelo
Ste 217
Barranquitas, PR 00794
Phone (787) 857-7777
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Medical Laboratory
- Barranquitas, PR
- NPI 1972827715
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136419200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1687910400000",
"number": "1891773347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 CALLE BARCELO",
"address_2": "STE 217 PLAZA SAN CRISTOBAL",
"city": "BARRANQUITAS",
"state": "PR",
"postal_code": "007941709",
"telephone_number": "787-857-7777",
"fax_number": "787-857-3792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 CALLE BARCELO",
"address_2": "SUITE 217 PLAZA SAN CRISTOBAL",
"city": "BARRANQUITAS",
"state": "PR",
"postal_code": "007941709",
"telephone_number": "787-857-7777",
"fax_number": "787-857-3792"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ESG GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-05",
"last_updated": "2023-06-28",
"certification_date": "2023-06-28",
"status": "A",
"authorized_official_last_name": "RIVERA RIOS",
"authorized_official_first_name": "EUGENIO",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "787-374-5715"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "PR",
"license": "806",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "LABORATORIO CLINICO SAN CRISTOBAL",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Barranquitas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; 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.