Active NPI
Borinquen Laboratory Services
- Clinical Medical Laboratory
- San Juan, PR
National Provider Identifier
1952359739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 588
- 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 SERVICES
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
-
- Clinical Medical Laboratory
- San Juan, PR
- NPI 1154398113
O20041005000928
National Provider Directory
National Provider Directory- Tax ID family
- Lab Clinico Borinquen
- 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.
-
- Clinical Medical Laboratory
- San Juan, PR
- NPI 1154398113
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.
-
- Clinical Medical Laboratory
- San Juan, PR
- NPI 1154398113
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.