Laboratorio Clinico Salud Y Vida LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

LABORATORIO CLINICO SALUD Y VIDA LLC

Practice address

Carr 2 KM 43.3 Bo. Algarrobos Local 3
Vega Baja, PR 00693

Phone

(787) 236-2380

NPI assigned

Mar 6, 2023

Organization subpart

No

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

Authorized official

Name

Naomi Serrano Estades, MS, MT

Title

Presidente

Phone

(787) 915-5052

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

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

{
    "created_epoch": "1678060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693353600000",
    "number": "1942900444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SAN DEMETRIO CALLE CASABE 152",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "00693",
            "telephone_number": "787-915-5052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 2 KM 43.3 BO. ALGARROBOS LOCAL 3",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "00693",
            "telephone_number": "787-236-2380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO SALUD Y VIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-06",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A",
        "authorized_official_last_name": "ESTADES",
        "authorized_official_first_name": "NAOMI",
        "authorized_official_middle_name": "SERRANO",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "787-915-5052",
        "authorized_official_credential": "MS, MT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER LICENSE",
            "identifier": "4836050",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Laboratorio Clinico Marbella, Inc
• Laboratorio Clinico Ocean Front Inc.
• Laboratorio Clinico Stella Mikaela Inc.
• Laboratorio Clinico Y Bacteriologico Nazaret
• Laboratorio Ocean Front Inc
• Laboratorio Teresita LLC
• Javier Laguer

• Clinical Medical Laboratory in Vega Baja, PR
• Providers in Vega Baja, 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 Aug 30, 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.