Organization Active NPI

Laboratorios Clinico Bayamon Inc

  • Clinical Medical Laboratory
  • Bayamon, PR
National Provider Identifier
1902991615
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
325 Issued in PR
Legal business name
LABORATORIOS CLINICO BAYAMON INC
Practice address
Cale Parque Esquina Rossy Edificio Transportacion Publi
Local 4C
Bayamon, PR 00959
Phone
(787) 780-4150
Fax
(787) 288-8207
NPI assigned
Oct 4, 2006
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
Mrs. Zoraida Marrero-Vazquez, MT
Title
President
Phone
(787) 780-4150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 325 PR Primary

Addresses

Primary practice location

Cale Parque Esquina Rossy Edificio Transportacion Publi
Local 4C
Bayamon, PR 00959

Mailing address

PO Box 8544
Bayamon, PR 00960-8544
Phone (787) 780-4150

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121211000485 PR Part B Supplier - Independent Clinical Laboratory 0244482644 Practice locations: Bayamon, PR

National Provider Directory

National Provider Directory

Locations

4 Calle Parque
#C212
Bayamon, PR 00961

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902991615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8544",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009608544",
            "telephone_number": "787-780-4150",
            "fax_number": "787-288-8207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALE PARQUE ESQUINA ROSSY EDIFICIO TRANSPORTACION PUBLI",
            "address_2": "LOCAL 4C",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00959",
            "telephone_number": "787-780-4150",
            "fax_number": "787-288-8207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIOS CLINICO BAYAMON INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARRERO-VAZQUEZ",
        "authorized_official_first_name": "ZORAIDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-780-4150",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, 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.
  • 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.