Organization Active NPI

Laboratorio Clinico Almirante Norte Corp

  • Clinical Medical Laboratory
  • Barceloneta, PR
National Provider Identifier
1972072270
Registry record updated Nov 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
LABORATORIO CLINICO ALMIRANTE NORTE CORP
Practice address
29 Carr 140 Florida Afuera
Barceloneta, PR 00617
Phone
(787) 846-0196
Fax
(787) 362-6545
NPI assigned
Nov 15, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2018

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

Authorized official

Name
Ediberto Colon
Title
Owner
Phone
(787) 654-8885

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

29 Carr 140 Florida Afuera
Barceloneta, PR 00617

Mailing address

141 Urb Las Palmas de Cerro Gordo
Vega Alta, PR 00692
Phone (787) 846-0196

Other names 1

  • Laboratorio Clinico Almirante Norte Corp II Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090420000291 PR Part B Supplier - Independent Clinical Laboratory 1153478664 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Barceloneta, PR; Vega Baja, 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 Clin Almirante Norte2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

29 Carr 140
#681
Barceloneta, PR 00617
Phone (787) 846-0196

29 Carr 140
Barceloneta, PR 00617
Phone (787) 846-0196

NPI Registry JSON

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

{
    "created_epoch": "1542240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542240000000",
    "number": "1972072270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 URB LAS PALMAS DE CERRO GORDO",
            "city": "VEGA ALTA",
            "state": "PR",
            "postal_code": "00692",
            "telephone_number": "787-846-0196",
            "fax_number": "787-623-4811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 CARR 140 FLORIDA AFUERA",
            "city": "BARCELONETA",
            "state": "PR",
            "postal_code": "00617",
            "telephone_number": "787-846-0196",
            "fax_number": "787-362-6545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO ALMIRANTE NORTE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-15",
        "last_updated": "2018-11-15",
        "status": "A",
        "authorized_official_last_name": "COLON",
        "authorized_official_first_name": "EDIBERTO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-654-8885"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laboratorio Clinico Almirante Norte Corp II",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Barceloneta, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2018; 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.