Organization Active NPI

Robindranath Perez

Doing business as Laboratorio Clinico Campo Alegre

  • Clinical Medical Laboratory
  • Hatillo, PR
National Provider Identifier
1942328059
Registry record updated Jun 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
701 Issued in PR
Legal business name
ROBINDRANATH PEREZ
Doing business as
Laboratorio Clinico Campo Alegre
Practice address
Carretera 130 K.M.11.6
Barrio Campo Alegre
Hatillo, PR 00659
Phone
(787) 820-5371
Fax
(787) 820-5371
NPI assigned
Mar 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2008

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

Authorized official

Name
Robindranath Perez, M.T.
Title
Owner
Phone
(787) 820-5371

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 701 PR Primary

Addresses

Primary practice location

Carretera 130 K.M.11.6
Barrio Campo Alegre
Hatillo, PR 00659

Mailing address

PO Box 140267
Arecibo, PR 00614-0267
Phone (787) 820-5371

Other names 1

  • LABORATORIO CLINICO CAMPO ALEGRE Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070817000397 PR Part B Supplier - Independent Clinical Laboratory 9638261860 1 other NPI on this enrollment
Practice locations: Hatillo, PR

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1942328059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 140267",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006140267",
            "telephone_number": "787-820-5371",
            "fax_number": "787-820-5371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA 130 K.M.11.6",
            "address_2": "BARRIO CAMPO ALEGRE",
            "city": "HATILLO",
            "state": "PR",
            "postal_code": "00659",
            "telephone_number": "787-820-5371",
            "fax_number": "787-820-5371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBINDRANATH PEREZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "ROBINDRANATH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-820-5371",
        "authorized_official_credential": "M.T."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LABORATORIO CLINICO CAMPO ALEGRE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hatillo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; 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.