NPIMap

Organization Active NPI

Laboratorio Clinico Borinquen-Cidra Pueblo

  • Clinical Medical Laboratory
  • Cidra, PR
National Provider Identifier
1902913841
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
176 Issued in PR
Legal business name
LABORATORIO CLINICO BORINQUEN-CIDRA PUEBLO
Practice address
32 Calle Munoz Barrios
Cidra, PR 00739-3202
Phone
(787) 739-6550
Fax
(787) 714-0534
NPI assigned
Aug 24, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Kimberly Jean Whitlock
Title
Director
Phone
(787) 744-0330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 176 PR Primary

Addresses

Primary practice location

32 Calle Munoz Barrios
Cidra, PR 00739-3202

Mailing address

2 Calle Baldorioty
Caguas, PR 00725-2606
Phone (787) 744-0330

National Provider Directory

National Provider Directory
Tax ID family
Laboratorio Clinico Borinquen-Avenida Munoz Marin6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

32 Calle Vicente Munoz Barrios
Cidra, PR 00739
Phone (787) 739-6550

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902913841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CALLE BALDORIOTY",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007252606",
            "telephone_number": "787-744-0330",
            "fax_number": "787-744-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 CALLE MUNOZ BARRIOS",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "007393202",
            "telephone_number": "787-739-6550",
            "fax_number": "787-714-0534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO BORINQUEN-CIDRA PUEBLO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WHITLOCK",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "787-744-0330",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cidra, PR

Sources for this page

  • 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.