Laboratorio Clinico Vazquez,Inc

Primary specialty

Medical TechnologistTaxonomy code 246QM0706X

Legal business name

LABORATORIO CLINICO VAZQUEZ,INC

Practice address

Carr. 681 KM 2.4 Bo. Islote Sector Jarealitos
Arecibo, PR 00612

Phone

(787) 910-1376

NPI assigned

Jul 20, 2020

Organization subpart

No

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

Authorized official

Name

Jan C Vazquez Osorio, MLS(ASCP)NPI 1508474560

Title

President

Phone

(787) 910-1376

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jan C Vazquez Osorio, MLS(ASCP)

  • Medical Technologist
  • Arecibo, PR
  • NPI 1508474560

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632873600000",
    "number": "1912515628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BO PUEBLO 197 GUAYACAN",
            "city": "HATILLO",
            "state": "PR",
            "postal_code": "00659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. 681 KM 2.4 BO. ISLOTE SECTOR JAREALITOS",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "00612",
            "telephone_number": "787-910-1376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO VAZQUEZ,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-20",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A",
        "authorized_official_last_name": "VAZQUEZ OSORIO",
        "authorized_official_first_name": "JAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-910-1376",
        "authorized_official_credential": "MLS(ASCP)"
    },
    "taxonomies": [
        {
            "code": "246QM0706X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Pathology, Medical Technologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Laboratorio Los Pinos
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• Medical Technologist in Arecibo, PR
• Providers in Arecibo, PR by specialty
• Medical Technologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; 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.