Organization Active NPI

Grupo de Empresas de Salud de San Juan, Inc.

  • Clinical Medical Laboratory
  • Trujillo Alto, PR
National Provider Identifier
1952583072
Registry record updated Nov 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
GRUPO DE EMPRESAS DE SALUD DE SAN JUAN, INC.
Practice address
Calle Carile 130
Expreso Trujillo Alto
Trujillo Alto, PR 00976
Phone
(787) 767-8758
NPI assigned
Nov 30, 2007
Last updated
Nov 30, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
LABORATORIOAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 30, 2007

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

Authorized official

Name
Raul VillalobosNPI 1700589249
Title
President
Phone
(787) 767-8758

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

Calle Carile 130
Expreso Trujillo Alto
Trujillo Alto, PR 00976

Mailing address

PO Box 193044
San Juan, PR 00919-3044
Phone (787) 767-8758

Other identifiers 1

IdentifierTypeStateIssuer
31171OtherPROVIDER NUMBER

National Provider Directory

National Provider Directory
Tax ID family
Grupo de Empresas de Salud19 organizations share this tax ID, including this one
Part of
Grupo de Empresas de Salud

Other organizations with this tax ID 18

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

View all 18

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196380800000",
    "number": "1952583072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 193044",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009193044",
            "telephone_number": "787-767-8758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE CARILE 130",
            "address_2": "EXPRESO TRUJILLO ALTO",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "00976",
            "telephone_number": "787-767-8758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRUPO DE EMPRESAS DE SALUD DE SAN JUAN, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LABORATORIO",
        "enumeration_date": "2007-11-30",
        "last_updated": "2007-11-30",
        "status": "A",
        "authorized_official_last_name": "VILLALOBOS",
        "authorized_official_first_name": "RAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-767-8758"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER",
            "identifier": "31171",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Trujillo Alto, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.