Laboratorio Clinico Plaza del Mar Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

1110 Issued in PR

Legal business name

LABORATORIO CLINICO PLAZA DEL MAR INC

Practice address

Carr. 693, KM 13.8
Plaza del Mar Shoping Center, Suite B-2
Vega Alta, PR 00692-3432

Phone

(787) 883-8150

Fax

(787) 883-8117

NPI assigned

Oct 10, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Nilsa I Nunez, M.T.

Title

Owner

Phone

(787) 883-8150

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217376000000",
    "number": "1891882791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3432",
            "city": "VEGA ALTA,",
            "state": "PR",
            "postal_code": "006923432",
            "telephone_number": "787-883-8150",
            "fax_number": "787-883-8117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. 693, KM 13.8",
            "address_2": "PLAZA DEL MAR SHOPING CENTER, SUITE B-2",
            "city": "VEGA ALTA",
            "state": "PR",
            "postal_code": "006923432",
            "telephone_number": "787-883-8150",
            "fax_number": "787-883-8117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO PLAZA DEL MAR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2008-07-30",
        "status": "A",
        "authorized_official_last_name": "NUNEZ",
        "authorized_official_first_name": "NILSA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-883-8150",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.T."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "1110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Laboratorio Clinico Luis M Rivera
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• Laboratorio Teresita
• Angel L Landron-Landron, BS, LND, DE
• Ismael Angel Landron, M.D.
• Alma Latoni Benedetti, OD

• Clinical Medical Laboratory in Vega Alta, PR
• Providers in Vega Alta, 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 Jul 30, 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.