Organization Active NPI

Borinquen Laboratory Services

  • Clinical Medical Laboratory
  • San Juan, PR
National Provider Identifier
1952359739
Registry record updated Sep 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
588 Issued in PR
Legal business name
BORINQUEN LABORATORY SERVICES
Doing business as
LABORATORIO CLINICO PASEOS II
Practice address
76 Calle Bolivia
Suite 102
San Juan, PR 00917-2121
Phone
(787) 753-6082
Fax
(787) 764-1909
NPI assigned
May 4, 2006
Organization subpart
Yes
Parent organization
BORINQUEN LABORATORY SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 20, 2016

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

Authorized official

Name
Mrs. Lina I Garcia, M T ASCP
Title
Owner
Phone
(787) 753-6082

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 588 PR Primary

Addresses

Primary practice location

76 Calle Bolivia
Suite 102
San Juan, PR 00917-2121

Mailing address

PO Box 14334
San Juan, PR 00916-4334
Phone (787) 753-6082

Other names 1

  • LABORATORIO CLINICO PASEOS II Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041005000928 PR Part B Supplier - Independent Clinical Laboratory 8224097340 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: San Juan, 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
Tax ID family
Lab Clinico Borinquen2 organizations share this tax ID, including this one
Part of
Lab Clinico Borinquen

Other organizations with this tax ID 1

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

Locations

76 Calle Bolivia
Ste 102
San Juan, PR 00917
Phone (787) 753-6082

76 Calle Bolivia
San Juan, PR 00917

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474329600000",
    "number": "1952359739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14334",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009164334",
            "telephone_number": "787-753-6082",
            "fax_number": "787-764-1909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 CALLE BOLIVIA",
            "address_2": "SUITE 102",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009172121",
            "telephone_number": "787-753-6082",
            "fax_number": "787-764-1909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BORINQUEN LABORATORY SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BORINQUEN LABORATORY SERVICES",
        "enumeration_date": "2006-05-04",
        "last_updated": "2016-09-20",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "LINA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-753-6082",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M T ASCP"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LABORATORIO CLINICO PASEOS II",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2016; 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.