Mayaguez Clinical Lab, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

MAYAGUEZ CLINICAL LAB, INC.

Practice address

Carr. 102
Edificio Profesional Borinquen Suite 10
Cabo Rojo, PR 00623

Phone

(787) 832-4376

Fax

(787) 827-9300

NPI assigned

Feb 7, 2023

Organization subpart

No

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

Authorized official

Name

Eric M Mas

Title

President

Phone

(787) 832-4376

Specialties & licenses 1

Addresses

Other names 2

• MAS Clinical Labs Doing business as
• Laboratorio Clinico Bacteriologico del Oeste Other name

Tax ID family

Mayaguez Clinical Lab Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Laboratorio Clinico Hormigueros LLC

  • Clinical Medical Laboratory
  • Mayaguez, PR
  • NPI 1588006704
  NPD tax ID
• Mayaguez Clinical Lab, Inc.

  • Clinical Medical Laboratory
  • Mayaguez, PR
  • NPI 1386340693
  NPD tax ID

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

{
    "created_epoch": "1675728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683849600000",
    "number": "1992401327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PERAL 27",
            "address_2": "SUITE 107",
            "city": "MAYAGUEZ, PR",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "787-832-4376",
            "fax_number": "787-827-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. 102",
            "address_2": "EDIFICIO PROFESIONAL BORINQUEN SUITE 10",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "00623",
            "telephone_number": "787-832-4376",
            "fax_number": "787-827-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYAGUEZ CLINICAL LAB, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-07",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A",
        "authorized_official_last_name": "MAS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-832-4376"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAS Clinical Labs",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Laboratorio Clinico Bacteriologico del Oeste",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Arelis N Martinez Perez, MS
• Gladys Martinez, CLINICAL PSYCHOLOGY
• Stephanie Martinez, R.N.
• Yolanda Martinez, RPH
• Ian Joseph Maya, MD
• MCR Dental Services LLC
• Med Health Hospice Corp
• Med Help Corp.
• Ramon Medina
• Medlife Ambulance Corp

• 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 May 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.