Organization Active NPI

Juliette Morales Wiscovitch

Doing business as Laboratorio Clinica Y Bacteridogio

  • Clinical Medical Laboratory
  • Cabo Rojo, PR
National Provider Identifier
1932386844
Registry record updated Apr 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
1054 Issued in PR
Legal business name
JULIETTE MORALES WISCOVITCH
Doing business as
Laboratorio Clinica Y Bacteridogio
Practice address
Edificio Medico Profesional Borinquen
Suite 10
Cabo Rojo, PR 00623
Phone
(787) 255-0208
Fax
(787) 255-0330
NPI assigned
Jan 23, 2008
Last updated
Apr 25, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2015

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

Authorized official

Name
Juliette Morales, MTNPI 1669459376
Title
Owner
Phone
(787) 255-0208

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)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 1054 PR Primary

Addresses

Primary practice location

Edificio Medico Profesional Borinquen
Suite 10
Cabo Rojo, PR 00623

Mailing address

Edificio Medico Profesional Borinquen
Suite 10
Cabo Rojo, PR 00623
Phone (787) 255-0208

Other names 1

  • LABORATORIO CLINICA Y BACTERIDOGIO Doing business as

National Provider Directory

National Provider Directory

Locations

27 Calle Salvador Brau
Cabo Rojo, PR 00623
Phone (787) 255-0330

Practitioners & 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": "1201046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429920000000",
    "number": "1932386844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "EDIFICIO MEDICO PROFESIONAL BORINQUEN",
            "address_2": "SUITE 10",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "00623",
            "telephone_number": "787-255-0208",
            "fax_number": "787-255-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EDIFICIO MEDICO PROFESIONAL BORINQUEN",
            "address_2": "SUITE 10",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "00623",
            "telephone_number": "787-255-0208",
            "fax_number": "787-255-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIETTE MORALES WISCOVITCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-23",
        "last_updated": "2015-04-25",
        "status": "A",
        "authorized_official_last_name": "MORALES",
        "authorized_official_first_name": "JULIETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-255-0208",
        "authorized_official_credential": "MT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "1054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LABORATORIO CLINICA Y BACTERIDOGIO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cabo Rojo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2015; 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.