Laboratorio Clinico Pena Pobre CSP

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

872 Issued in PR

Legal business name

LABORATORIO CLINICO PENA POBRE CSP

Practice address

Road 31 KM 13.0
Bo Pena Pobre
Naguabo, PR 00718

Phone

(787) 874-1698

Fax

(787) 874-1698

NPI assigned

Jun 27, 2005

Organization subpart

No

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

Authorized official

Name

Ramona Rosado Rosado, MT

Title

Laboratory Director

Phone

(787) 874-1698

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902802671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BH12 CALLE 33 VILLA UNIVERSITARIA",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007914363",
            "telephone_number": "787-874-1698",
            "fax_number": "787-874-1698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ROAD 31 KM 13.0",
            "address_2": "BO PENA POBRE",
            "city": "NAGUABO",
            "state": "PR",
            "postal_code": "00718",
            "telephone_number": "787-874-1698",
            "fax_number": "787-874-1698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO PENA POBRE CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROSADO ROSADO",
        "authorized_official_first_name": "RAMONA",
        "authorized_official_title_or_position": "LABORATORY DIRECTOR",
        "authorized_official_telephone_number": "787-874-1698",
        "authorized_official_credential": "MT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "872",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "872",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Rachel Lopez, PHL

• Clinical Medical Laboratory in Naguabo, PR
• Providers in Naguabo, 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 Aug 22, 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.