Active NPI
Laboratorios Clinico Bayamon Inc
- Clinical Medical Laboratory
- Bayamon, PR
National Provider Identifier
1902991615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 325
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20121211000485 | PR | Part B Supplier - Independent Clinical Laboratory | 0244482644 | Practice locations: Bayamon, PR |
National Provider Directory
National Provider DirectoryLocations
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.