Active NPI
Laboratorio Clinico Vazquez,Inc
- Medical Technologist
- Arecibo, PR
National Provider Identifier
1912515628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Technologist
- 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
- Last updated
- Sep 29, 2021
- 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
- Jan C Vazquez Osorio, MLS(ASCP)
- Title
- President
- Phone
- (787) 910-1376
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Technologist | 246QM0706X | Primary |
Addresses
Primary practice location
Carr. 681 KM 2.4 Bo. Islote Sector Jarealitos
Arecibo, PR 00612
Mailing address
Bo Pueblo 197 Guayacan
Hatillo, PR 00659
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20211213002749 | PR | Part B Supplier - Independent Clinical Laboratory | 0143610816 | Practice locations: Arecibo, 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, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
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": []
}
Other providers in Arecibo, PR
- Laboratorio Clinico Ling, Inc.
- Laboratorio Clinico Medi-Serv Inc (JC Med Laboratory Services, Inc.)
- Laboratorio Clinico Oliver
- Laboratorio Clinico Rodriguez N LLC
- Laboratorio Clinico Toledo, LLC (Laboratorio Clinico Toledo)
- Laboratorio Clinico Vega CSP (Laboratorio Clinico Vega II)
- Laboratorio Clinico Villa Los Santos
- Laboratorio Clinico Vista Azul, Inc
- Laboratorio Los Pinos
- Laboratorio Noy
Sources for this page
- 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.