NPIMap

Organization Active NPI

Laboratorio Matienzo Inc.

  • Clinical Medical Laboratory
  • Trujillo Alto, PR
National Provider Identifier
1922017144
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
1083 Issued in PR
Legal business name
LABORATORIO MATIENZO INC.
Practice address
220 Plaza Western Auto PMB 383
Suite 101
Trujillo Alto, PR 00976-3606
Phone
(787) 748-3010
NPI assigned
Aug 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Maritza Lopez
Title
Supervisor
Phone
(787) 748-3010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 1083 PR Primary

Addresses

Primary practice location

220 Plaza Western Auto PMB 383
Suite 101
Trujillo Alto, PR 00976-3606

Mailing address

220 Plaza Western Auto
Suite 101 PMB 383
Trujillo Alto, PR 00976-3606
Phone (787) 748-3010

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922017144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 PLAZA WESTERN AUTO",
            "address_2": "SUITE 101 PMB 383",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009763606",
            "telephone_number": "787-748-3010",
            "fax_number": "787-748-3011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 PLAZA WESTERN AUTO PMB 383",
            "address_2": "SUITE 101",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009763606",
            "telephone_number": "787-748-3010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO MATIENZO INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "MARITZA",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "787-748-3010"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "1083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trujillo Alto, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.