Organization Active NPI

Esg Group LLC

  • Clinical Medical Laboratory
  • Barranquitas, PR
National Provider Identifier
1891773347
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
806 Issued in PR
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

Updated by the provider on Jun 28, 2023

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231110000005 PR Part B Supplier - Independent Clinical Laboratory 2668829706 Practice locations: Barranquitas, PR

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.