Active NPI
Lisbeth Lugo Sr
- Clinical Medical Laboratory
- Guanica, PR
National Provider Identifier
1912300617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- LISBETH LUGO SR
- Practice address
- Carr 116 KM 24.7
Centro Comercial Plaza Guanica Suite 6 Bo Cano
Guanica, PR 00653 - Phone
- (787) 216-9287
- Fax
- (787) 848-0318
- NPI assigned
- Oct 8, 2014
- 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. Lisbeth Lugo Nieves, MT
- Title
- Owner/Supervisor
- Phone
- (787) 216-9287
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | PR | Primary |
Addresses
Primary practice location
Carr 116 KM 24.7
Centro Comercial Plaza Guanica Suite 6 Bo Cano
Guanica, PR 00653
Mailing address
HC 1 Box 6211
Yauco, PR 00698-9741
Phone (787) 216-9287
Other names 1
- Laboratorio Clinico La 116
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150108002103 | PR | Part B Supplier - Independent Clinical Laboratory | 8628391190 | Practice locations: Guanica, PR |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Medical Laboratory
- Guanica, PR
- NPI 1285060178
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412726400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1414972800000",
"number": "1912300617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 1 BOX 6211",
"city": "YAUCO",
"state": "PR",
"postal_code": "006989741",
"telephone_number": "787-216-9287",
"fax_number": "787-848-0318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR 116 KM 24.7",
"address_2": "CENTRO COMERCIAL PLAZA GUANICA SUITE 6 BO CANO",
"city": "GUANICA",
"state": "PR",
"postal_code": "00653",
"telephone_number": "787-216-9287",
"fax_number": "787-848-0318"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LISBETH LUGO SR",
"organizational_subpart": "NO",
"enumeration_date": "2014-10-08",
"last_updated": "2014-11-03",
"status": "A",
"authorized_official_last_name": "LUGO NIEVES",
"authorized_official_first_name": "LISBETH",
"authorized_official_title_or_position": "OWNER/SUPERVISOR",
"authorized_official_telephone_number": "787-216-9287",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MT"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "PR",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Laboratorio Clinico La 116",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Guanica, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2014; 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.