Active NPI
Mildred S Estrella
Doing business as Laboratorio Clinico Estrella
- Clinical Medical Laboratory
- Caguas, PR
National Provider Identifier
1972696979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- MILDRED S ESTRELLA
- Doing business as
- Laboratorio Clinico Estrella
- Practice address
- Carr. 172 KM 6.1 Sector la Sierra
Bo. Canaboncito
Caguas, PR 00725-1876 - Phone
- (787) 286-0065
- Fax
- (787) 286-0065
- NPI assigned
- Oct 2, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mildred S Estrella
- Title
- Owner
- Phone
- (787) 286-0065
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
Carr. 172 KM 6.1 Sector la Sierra
Bo. Canaboncito
Caguas, PR 00725-1876
Mailing address
P O Box 4952
Ste 487
Caguas, PR 00726-4952
Phone (787) 286-0065
Other names 1
- Laboratorio Clinico Estrella
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120611000701 | PR | Part B Supplier - Independent Clinical Laboratory | 7012171606 | Practice locations: Caguas, PR |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Physician
- Caguas, PR
- NPI 1932263563
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1334793600000",
"number": "1972696979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P O BOX 4952",
"address_2": "STE 487",
"city": "CAGUAS",
"state": "PR",
"postal_code": "007264952",
"telephone_number": "787-286-0065",
"fax_number": "787-286-0065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR. 172 KM 6.1 SECTOR LA SIERRA",
"address_2": "BO. CANABONCITO",
"city": "CAGUAS",
"state": "PR",
"postal_code": "007251876",
"telephone_number": "787-286-0065",
"fax_number": "787-286-0065"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MILDRED S ESTRELLA",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-02",
"last_updated": "2012-04-19",
"status": "A",
"authorized_official_last_name": "ESTRELLA",
"authorized_official_first_name": "MILDRED",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "787-286-0065"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Laboratorio Clinico Estrella",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Caguas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2012; 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.