Organization Active NPI

Laboratorio Clinico Marielys, Inc

  • Clinical Medical Laboratory
  • Bayamon, PR
National Provider Identifier
1972541324
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
0489 Issued in PR
Legal business name
LABORATORIO CLINICO MARIELYS, INC
Doing business as
Laboratorio Clinico Marie-E
Practice address
E-29 Ave Hermanas Davila
Urb San Fernando
Bayamon, PR 00957-2202
Phone
(787) 787-8800
Fax
(787) 786-0883
NPI assigned
Jun 4, 2006
Organization subpart
Yes
Parent organization
LABORATORIO CLINICO MARIELYS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Authorized official

Name
Mrs. Maria E Hernandez
Title
President
Phone
(787) 787-8800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 0489 PR Primary

Addresses

Primary practice location

E-29 Ave Hermanas Davila
Urb San Fernando
Bayamon, PR 00957-2202

Mailing address

PO Box 3310
Bayamon, PR 00958-0310
Phone (787) 787-8800

Other names 1

  • Laboratorio Clinico Marie-E Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060810000190 PR Part B Supplier - Independent Clinical Laboratory 6901809011 1 other NPI on this enrollment
Practice locations: Bayamon, PR; Guaynabo, 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
Laboratorio Clinico Marielys Inc2 organizations share this tax ID, including this one
Part of
Laboratorio Clinico Marielys Inc

Other organizations with this tax ID 1

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

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": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759276800000",
    "number": "1972541324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3310",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009580310",
            "telephone_number": "787-787-8800",
            "fax_number": "787-786-0883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "E-29 AVE HERMANAS DAVILA",
            "address_2": "URB SAN FERNANDO",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009572202",
            "telephone_number": "787-787-8800",
            "fax_number": "787-786-0883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO MARIELYS, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LABORATORIO CLINICO MARIELYS INC",
        "enumeration_date": "2006-06-04",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-787-8800",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "0489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laboratorio Clinico Marie-E",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; 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.