Organization Active NPI

Laboratorio Clinico Sonia Sepulveda

  • Clinical Medical Laboratory
  • Penuelas, PR
National Provider Identifier
1962621474
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
347 Issued in PR
Legal business name
LABORATORIO CLINICO SONIA SEPULVEDA
Practice address
Street Pedro Velazquez Diaz 628
B1
Penuelas, PR 00624
Phone
(787) 836-2178
Fax
(787) 836-2255
NPI assigned
Apr 24, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Sonia L Sepulveda, MT LIC 975NPI 1730248303
Title
Director
Phone
(787) 836-2178

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 347 PR Primary

Addresses

Primary practice location

Street Pedro Velazquez Diaz 628
B1
Penuelas, PR 00624

Mailing address

PO Box 490
Penuelas, PR 00624-0490
Phone (787) 836-2178

National Provider Directory

National Provider Directory

Locations

628 Calle Pedro V Diaz
Penuelas, PR 00624
Phone (787) 836-2178

Practitioners & affiliated clinicians

Practitioners 1

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": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962621474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 490",
            "city": "PENUELAS",
            "state": "PR",
            "postal_code": "006240490",
            "telephone_number": "787-836-2178",
            "fax_number": "787-836-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "STREET PEDRO VELAZQUEZ DIAZ 628",
            "address_2": "B1",
            "city": "PENUELAS",
            "state": "PR",
            "postal_code": "00624",
            "telephone_number": "787-836-2178",
            "fax_number": "787-836-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO SONIA SEPULVEDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SEPULVEDA",
        "authorized_official_first_name": "SONIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "787-836-2178",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MT LIC 975"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Penuelas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.