Empresas Colon Ayala Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

EMPRESAS COLON AYALA INC

Doing business as

Laboratorio Clinico Doctor's Village

Practice address

Road 102 KM 18.8
Lighthouse Plaza Hote - Suite 104
Cabo Rojo, PR 00623

Phone

(787) 662-2232

Fax

(787) 851-4343

NPI assigned

Sep 30, 2008

Last updated

Sep 30, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Lizzette Ayala-Santiago, M.T.

Title

Supervisor

Phone

(787) 662-2232

Specialties & licenses 1

Addresses

Other names 1

• Laboratorio Clinico Doctor's Village Doing business as

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

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

{
    "created_epoch": "1222732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222732800000",
    "number": "1972754604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3843",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006813843",
            "telephone_number": "787-662-2232",
            "fax_number": "787-834-0047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ROAD 102 KM 18.8",
            "address_2": "LIGHTHOUSE PLAZA HOTE - SUITE 104",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "00623",
            "telephone_number": "787-662-2232",
            "fax_number": "787-851-4343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPRESAS COLON AYALA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-30",
        "last_updated": "2008-09-30",
        "status": "A",
        "authorized_official_last_name": "AYALA-SANTIAGO",
        "authorized_official_first_name": "LIZZETTE",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "787-662-2232",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.T."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laboratorio Clinico Doctor's Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Medical Laboratory in Cabo Rojo, PR
• Providers in Cabo Rojo, PR by specialty
• Clinical Medical Laboratory in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2008; 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.