Individual provider Active NPI

Yanira Solano Martinez

  • Clinical Medical Laboratory
  • Caguas, PR
National Provider Identifier
1902064066
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
1151 Issued in PR
Practice address
Carretera 183
Barrio Tomas de Castro KM 4.3
Caguas, PR 00725
Phone
(787) 653-7272
Fax
(787) 961-6455
NPI assigned
May 27, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 1151 PR Primary

Addresses

Primary practice location

Carretera 183
Barrio Tomas de Castro KM 4.3
Caguas, PR 00725

Mailing address

PO Box 4960
497 PMB
Caguas, PR 00726-4960
Phone (787) 692-4968

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080616000749 PR Part B Supplier - Independent Clinical Laboratory 9234200460 Practice locations: Caguas, PR; San Lorenzo, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1151PRMDClinical Medical Laboratory

Practice roles

OrganizationSpecialtyStatusNew patients
Laboratorio Clinico Paseo del Rio, LLC Clinical Medical Laboratory Current Accepting new patients
Laboratorio Clinico Paseo del Rio, LLC Clinical Medical Laboratory Current Accepting new patients
Laboratorio Clinico Paseo del Rio Clinical Medical Laboratory Current Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1902064066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4960",
            "address_2": "497 PMB",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007264960",
            "telephone_number": "787-692-4968",
            "fax_number": "787-961-6455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA 183",
            "address_2": "BARRIO TOMAS DE CASTRO KM 4.3",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-653-7272",
            "fax_number": "787-961-6455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLANO MARTINEZ",
        "first_name": "YANIRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-27",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "1151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; 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.