Illiad E Hernandez Lopez

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

610 Issued in PR

Legal business name

ILLIAD E HERNANDEZ LOPEZ

Doing business as

Laboratorio Clinico Hernandez

Practice address

85 Calle Don Chemary
Moca, PR 00676-4120

Phone

(787) 877-1895

Fax

(787) 877-1895

NPI assigned

Jan 5, 2007

Last updated

Sep 23, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Illiad E Hernandez

Title

Mt

Phone

(787) 877-1895

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• LABORATORIO CLINICO HERNANDEZ Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600819200000",
    "number": "1891842159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 357",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "006760357",
            "telephone_number": "787-877-1895",
            "fax_number": "787-877-1895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 CALLE DON CHEMARY",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "006764120",
            "telephone_number": "787-877-1895",
            "fax_number": "787-877-1895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLIAD E HERNANDEZ LOPEZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-01",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "ILLIAD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MT",
        "authorized_official_telephone_number": "787-877-1895"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "610",
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0030836",
            "state": "PR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "moca",
            "affiliation": "N",
            "address_1": "85 Calle Don Chemary",
            "city": "Moca",
            "state": "PR",
            "country_code": "US",
            "postal_code": "006764120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "LABORATORIO CLINICO HERNANDEZ",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LABORATORIO CLINICO HERNANDEZ",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vanessa Hernandez, MEDICAL TECHNOLOGY
• Maritza Hidalgo
• Mario Alexis Hilerio Ramos, M.D.
• Hospital San Carlos Incorporado (Hospital San Carlos Borromeo)
• Suly Dairay Illas Mendez, PHD
• Imeca , Inc (laboratorioclinico caribe)
• Innova Health Clinic LLC (Innova Health Clinic)
• Innovations Psychotherapeutic Group, PSC
• Innovative Health Care LLC
• Instituto Gineco-Obstetrico del Noroeste

• Clinical Medical Laboratory in Moca, PR
• Providers in Moca, PR by specialty
• Clinical Medical Laboratory in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.