Laboratorio Clinico Y Bacteriologico Ciales Inc
Organization Active NPI Clinical Medical Laboratory · Ciales, PR
NPI 1992741748 · NPPES record last updated Jul 19, 2013
Key facts
- NPI
- 1992741748
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Medical Laboratory 291U00000X
- Legal business name
- LABORATORIO CLINICO Y BACTERIOLOGICO CIALES INC
- Practice address
- Corchado # 32
Ciales, PR 00638 - Phone
- (787) 871-2626
- NPI assigned
- Jun 21, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Orlando Rivera, MD
- Title
- President
- Phone
- (787) 934-6737
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040303000651 | PR | Part B Supplier - Independent Clinical Laboratory | 2860389806 | Practice locations: Ciales, PR |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Yes |
Addresses
Primary practice location
Corchado # 32
Ciales, PR 00638
Mailing address
PO Box 1420
Ciales, PR 00638
Phone (787) 871-2626
Other providers in Ciales, PR
- Laboratorio Clinico Bella Vista de Ciales Inc
- Laboratorio Clinico Expreso JVG
- Laboratorio Clinico Expresso JVG Inc
- Laboratorio Clinico Lomar Inc.
- Laboratorio Clinico Ocean Front Inc.
- Cindy Sevilla Lebron
- Lizzette Lilliana Lespier
- Mercedes Lopez Taveras
- Aurora Teresa Lopez-Soler
- Sheila Lozada Ramos
All providers in Ciales, PR · Clinical Medical Laboratory in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 19, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.