Active NPI
Magaly Flores Verdejo
Doing business as Laboratorio Clinico Flores
- Clinical Medical Laboratory
- San Juan, PR
National Provider Identifier
1902979990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 635
- 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, 2012
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120503000446 | PR | Part B Supplier - Independent Clinical Laboratory | 3870755002 | Practice locations: San Juan, PR |
National Provider Directory
National Provider DirectoryLocations
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.