Laboratorios Baco Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

170 Issued in PR

Legal business name

LABORATORIOS BACO INC

Practice address

22 Calle Peral N
Mayaguez, PR 00680-4821

Phone

(787) 832-7190

NPI assigned

Feb 28, 2008

Last updated

Nov 27, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jorge B Baco, BSMT(ASCP)

Title

President

Phone

(787) 832-7190

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MAYAGUEZ ENDOCRINE & CLINICAL LAB Former legal business name

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Laboratorio Clinico Baco Stat - Labi

  • Clinical Medical Laboratory
  • Mayaguez, PR
  • NPI 1477675288

  O20080211000029

  Same enrollment
• Laboratorio Clinico Baco Stat-Lab II

  • Clinical Medical Laboratory
  • Mayaguez, PR
  • NPI 1013036375

  O20080211000029

  Same enrollment
• Mayaguez Endocrine & Clinical Lab

  dba Mayaguez Endocrine & Clinical Laboratory

  • Clinical Medical Laboratory
  • Mayaguez, PR
  • NPI 1114920956

  O20080211000029

  Same enrollment

Tax ID family

Laboratorio Clinico Baco Stat - Labi3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Laboratorio Clinico Baco Stat - Labi

  • Clinical Medical Laboratory
  • Mayaguez, PR
  • NPI 1477675288
  NPD tax ID
• Laboratorio Clinico Baco Stat-Lab II

  • Clinical Medical Laboratory
  • Mayaguez, PR
  • NPI 1013036375
  NPD tax ID

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1932378585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 CALLE PERAL N",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006804821",
            "telephone_number": "787-832-7190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 CALLE PERAL N",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006804821",
            "telephone_number": "787-832-7190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIOS BACO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A",
        "authorized_official_last_name": "BACO",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-832-7190",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BSMT(ASCP)"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED MEDICARE CHOICE",
            "identifier": "20224",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAYAGUEZ ENDOCRINE & CLINICAL LAB",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Clinical Medical Laboratory in Mayaguez, PR
• Providers in Mayaguez, 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 Nov 27, 2023; 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.