NPIMap

Organization Active NPI

Laboratorio Clinico Anexo Irizarry Guasch Inc

  • Clinical Medical Laboratory
  • San Sebastian, PR
National Provider Identifier
1891880951
Registry record updated Feb 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
911 Issued in PR
Legal business name
LABORATORIO CLINICO ANEXO IRIZARRY GUASCH INC
Practice address
Carr PR 111 KM 18
San Sebastian Shopping Center
San Sebastian, PR 00685
Phone
(787) 280-3609
Fax
(787) 280-3610
NPI assigned
Oct 4, 2006
Organization subpart
Yes
Parent organization
LABORATORIO CLINICO ANEXO IRIZARRY GUASCH INCAs reported in NPPES

Authorized official

NPPES NPI Registry
Name
Mr. Jose Rafael Sanchez
Title
Presidente
Phone
(787) 899-7222

Other NPIs on the same Medicare enrollment 23

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 23

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070906000500 PR Part B Supplier - Independent Clinical Laboratory 3476646597 23 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Mayaguez, PR; Ponce, PR; Sabana Grande, PR; Salinas, PR; San Sebastian, PR; Santa Isabel, PR; Yauco, PR; San German, PR…

National Provider Directory

National Provider Directory
Tax ID family
Laboratorio Irizarry Guasch25 organizations share this tax ID, including this one
Part of
Laboratorio Irizarry Guasch

Other organizations with this tax ID 24

Organizations that report the same tax identification number in the National Provider Directory.

View all 24

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 911 PR Primary

Addresses

NPPES NPI Registry

Primary practice location

Carr PR 111 KM 18
San Sebastian Shopping Center
San Sebastian, PR 00685

Mailing address

PO Box 125
Lajas, PR 00667
Phone (787) 899-7222

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 4, 2008.

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202083200000",
    "number": "1891880951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 125",
            "city": "LAJAS",
            "state": "PR",
            "postal_code": "00667",
            "telephone_number": "787-899-7222",
            "fax_number": "787-899-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR PR 111 KM 18",
            "address_2": "SAN SEBASTIAN SHOPPING CENTER",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "00685",
            "telephone_number": "787-280-3609",
            "fax_number": "787-280-3610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO ANEXO IRIZARRY GUASCH INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LABORATORIO CLINICO ANEXO IRIZARRY GUASCH INC",
        "enumeration_date": "2006-10-04",
        "last_updated": "2008-02-04",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "RAFAEL",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "787-899-7222",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Sebastian, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2008; 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.