Organization Active NPI

Ivan Francisco Velez Montero

Doing business as Laboratorio Clinico Caguana

  • Clinical Medical Laboratory
  • Utuado, PR
National Provider Identifier
1982410734
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
IVAN FRANCISCO VELEZ MONTERO
Doing business as
Laboratorio Clinico Caguana
Practice address
Carr. 111 KM 51.7
Bo. Caguana
Utuado, PR 00641
Phone
(939) 488-8000
NPI assigned
Dec 6, 2024
Last updated
Dec 10, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
LABOARATORIO CLINICO CAGUANAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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

Authorized official

Name
Ivan Francisco Velez
Title
Owner
Phone
(787) 378-0676

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU Primary

Addresses

Primary practice location

Carr. 111 KM 51.7
Bo. Caguana
Utuado, PR 00641

Mailing address

15 Colinas de San Andres
Utuado, PR 00641-9709
Phone (787) 378-0676

Other names 1

  • LABORATORIO CLINICO CAGUANA Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250929002295 PR Part B Supplier - Independent Clinical Laboratory 0648776765 Practice locations: Utuado, PR

National Provider Directory

National Provider Directory
Part of
Laboratorio Clinico Caguana

NPI Registry JSON

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

{
    "created_epoch": "1733443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733788800000",
    "number": "1982410734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 COLINAS DE SAN ANDRES",
            "city": "UTUADO",
            "state": "PR",
            "postal_code": "006419709",
            "telephone_number": "787-378-0676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. 111 KM 51.7",
            "address_2": "BO. CAGUANA",
            "city": "UTUADO",
            "state": "PR",
            "postal_code": "00641",
            "telephone_number": "939-488-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVAN FRANCISCO VELEZ MONTERO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LABOARATORIO CLINICO CAGUANA",
        "enumeration_date": "2024-12-06",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A",
        "authorized_official_last_name": "VELEZ",
        "authorized_official_first_name": "IVAN",
        "authorized_official_middle_name": "FRANCISCO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-378-0676"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LABORATORIO CLINICO CAGUANA",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LABORATORIO CLINICO CAGUANA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Utuado, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; 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.