Laboratorio Clinico Doctor Center, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

483 Issued in PR

Legal business name

LABORATORIO CLINICO DOCTOR CENTER, INC.

Practice address

PC1 Calle 274
Ave. Comandante, Country Club
Carolina, PR 00982-2769

Phone

(787) 762-4200

Fax

(787) 762-4200

NPI assigned

Jan 26, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Wilfredo Reyes, M.T.NPI 1710021365

Title

Director

Phone

(787) 762-4200

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Wilfredo Reyes, M.T.

  • Laboratory Management Specialist/Technologist
  • Carolina, PR
  • NPI 1710021365
  NPD (past) Authorized official
• Gregorio A. Cortes-Maisonet, MD

  • General Practice Physician
  • San Juan, PR
  • NPI 1639151616
  NPD
• Alina Barbara Rubio, LCDA.

  • Medical Technologist
  • Carolina, PR
  • NPI 1316071426
  NPD (past)

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426118400000",
    "number": "1942270343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29491",
            "address_2": "65TH INFANTERY STATION",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009290491",
            "telephone_number": "787-762-4200",
            "fax_number": "787-762-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PC1 CALLE 274",
            "address_2": "AVE. COMANDANTE, COUNTRY CLUB",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009822769",
            "telephone_number": "787-762-4200",
            "fax_number": "787-762-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO DOCTOR CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-26",
        "last_updated": "2015-03-12",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "WILFREDO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "787-762-4200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.T."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laboratorio Clinico Antillanos LLC
• Laboratorio Clinico Barrazas Inc
• Laboratorio Clinico Barrazas Inc
• Laboratorio Clinico Bio Tech Inc
• Laboratorio Clinico DCN Corp
• Laboratorio Clinico Francisco Landron Inc.
• Laboratorio Clinico Iturregui, Inc
• Laboratorio Clinico Jardines
• Laboratorio Clinico Jardines II
• Laboratorio Clinico Jardines, Inc.

• Clinical Medical Laboratory in Carolina, PR
• Providers in Carolina, 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 Mar 12, 2015; 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.