Organization Active NPI

Magaly Flores Verdejo

Doing business as Laboratorio Clinico Flores

  • Clinical Medical Laboratory
  • San Juan, PR
National Provider Identifier
1902979990
Registry record updated Dec 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
635 Issued in PR
Legal business name
MAGALY FLORES VERDEJO
Doing business as
Laboratorio Clinico Flores
Practice address
12 Marginal 65 Infanteria
Urb San Agustin
San Juan, PR 00923
Phone
(787) 759-6804
Fax
(787) 759-6804
NPI assigned
Nov 16, 2006
Last updated
Dec 27, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2012

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

Authorized official

Name
Ms. Magaly Flores - Verdejo, BS,MT(ASCP)
Title
Director
Phone
(787) 759-6804

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 635 PR Primary

Addresses

Primary practice location

12 Marginal 65 Infanteria
Urb San Agustin
San Juan, PR 00923

Mailing address

PO Box 29483
San Juan, PR 00929-0483
Phone (787) 759-6804

Other names 1

  • LABORATORIO CLINICO FLORES Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120503000446 PR Part B Supplier - Independent Clinical Laboratory 3870755002 Practice locations: San Juan, PR

National Provider Directory

National Provider Directory

Locations

12 Calle Marginal
San Juan, PR 00923
Phone (787) 759-6804

Marginal 65TH Infanteria Local 12 Urb San Agustin
Lab Clinico Flores
San Juan, PR 00923
Phone (787) 759-6804

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356566400000",
    "number": "1902979990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29483",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009290483",
            "telephone_number": "787-759-6804",
            "fax_number": "787-759-6804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 MARGINAL 65 INFANTERIA",
            "address_2": "URB SAN AGUSTIN",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00923",
            "telephone_number": "787-759-6804",
            "fax_number": "787-759-6804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGALY FLORES VERDEJO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2012-12-27",
        "status": "A",
        "authorized_official_last_name": "FLORES - VERDEJO",
        "authorized_official_first_name": "MAGALY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "787-759-6804",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BS,MT(ASCP)"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LABORATORIO CLINICO FLORES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2012; 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.