Lab Alejandrino Inc Corporation

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

882 Issued in PR

Legal business name

LAB ALEJANDRINO INC CORPORATION

Practice address

310 Ave Lomas Verdes Ste 203a
San Juan, PR 00927-6638

Phone

(787) 764-4593

NPI assigned

Mar 10, 2016

Organization subpart

No

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

Authorized official

Name

Julio Rivera Santiago

Title

Administrator

Phone

(787) 646-5125

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

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

{
    "created_epoch": "1457568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718064000000",
    "number": "1912368572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 AVE LOMAS VERDES STE 203A",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009276638",
            "telephone_number": "787-361-7079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 AVE LOMAS VERDES STE 203A",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009276638",
            "telephone_number": "787-764-4593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAB ALEJANDRINO INC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-10",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A",
        "authorized_official_last_name": "RIVERA SANTIAGO",
        "authorized_official_first_name": "JULIO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-646-5125"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in San Juan, PR
• Providers in San Juan, PR by specialty
• Clinical Medical Laboratory in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; 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.