NPIMap

Organization Active NPI

Laboratorio Clinico Lugo Inc.

Doing business as Laboratorio Clinico Lugo

  • Clinical Medical Laboratory
  • Barranquitas, PR
National Provider Identifier
1932102548
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
527 Issued in PR
Legal business name
LABORATORIO CLINICO LUGO INC.
Doing business as
Laboratorio Clinico Lugo
Practice address
10 Calle Barcelo Ste 101
Barranquitas, PR 00794-1734
Phone
(787) 857-6020
Fax
(787) 857-6020
NPI assigned
May 27, 2005
Last updated
Mar 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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

Authorized official

Name
Briseida Miranda, MTNPI 1386492270
Title
Owner
Phone
(787) 695-3027

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 527 PR Primary
Clinical Medical Laboratory 291U00000X

Addresses

Primary practice location

10 Calle Barcelo Ste 101
Barranquitas, PR 00794-1734

Mailing address

10 Calle Barcelo Ste 101
Barranquitas, PR 00794-1734
Phone (787) 857-6020

Other names 1

  • LABORATORIO CLINICO LUGO Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100619000141 PR Part B Supplier - Independent Clinical Laboratory 7810930328 Practice locations: Barranquitas, PR

National Provider Directory

National Provider Directory

Locations

10 Calle Barcelo
Ste 101
Barranquitas, PR 00794
Phone (787) 695-3027

Practitioners & affiliated clinicians

Practitioners 2

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": "1117152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710806400000",
    "number": "1932102548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CALLE BARCELO STE 101",
            "city": "BARRANQUITAS",
            "state": "PR",
            "postal_code": "007941734",
            "telephone_number": "787-857-6020",
            "fax_number": "787-857-6020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CALLE BARCELO STE 101",
            "city": "BARRANQUITAS",
            "state": "PR",
            "postal_code": "007941734",
            "telephone_number": "787-857-6020",
            "fax_number": "787-857-6020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO LUGO INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-27",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A",
        "authorized_official_last_name": "MIRANDA",
        "authorized_official_first_name": "BRISEIDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-695-3027",
        "authorized_official_credential": "MT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "527",
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LABORATORIO CLINICO LUGO",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LABORATORIO CLINICO LUGO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Barranquitas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.