LAVORATORIO CLINICO SAN ANTONIO INC
NPI 1124383773
Clinical Medical Laboratory in Aguada, PR

Active since July 10, 2012
CARRETERA 411 KM 3.0, BARRIO JAGUEY, AGUADA, PR 00602(787) 612-7527(787) 826-7662 Get Directions Write a Review

NPPES record last updated: November 29, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lavoratorio Clinico San Antonio Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAVORATORIO CLINICO SAN ANTONIO INC (NPI 1124383773) is a healthcare organization registered as a clinical medical laboratory in Aguada, Puerto Rico and active in the NPI registry since July 2012. The organization lists Sheila Barreto, Medical Technologist, as its authorized official.

NPPES Registry Identity

NPI1124383773
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameLAVORATORIO CLINICO SAN ANTONIO INC
Location AddressCARRETERA 411 KM 3.0, BARRIO JAGUEYAguada, PR 00602-2628
Mailing Address35 Villas De SotomayorAguada, PUERTO RICO 00602 · (787) 612-7527 · Fax (787) 826-7662
Fax(787) 826-7662
Organization SubpartNo
Authorized OfficialSheila BarretoMedical Technologist · (787) 612-7527
Enumeration DateJuly 10, 2012
Last NPPES UpdateNovember 29, 2012
✔ NPI 1124383773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
License✔ Licensed in PR · 1265
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
CARRETERA 411 KM 3.0, Aguada, PR 00602

Other Identifiers 2

Other1265PR · Licencia Pr
Other40D2041381PR · Clia

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lavoratorio Clinico San Antonio Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StatePuerto RicoEnrollment IDO20060126000616Non-DME Part B · Independent Clinical LaboratoryDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lavoratorio Clinico San Antonio Inc's NPI number?

The NPI number for Lavoratorio Clinico San Antonio Inc is 1124383773. It was assigned to this organization in the NPPES registry on July 10, 2012.

Where is Lavoratorio Clinico San Antonio Inc located?

Lavoratorio Clinico San Antonio Inc is located at Carretera 411 Km 3.0 Barrio Jaguey, Aguada, PR 00602. The listed phone number is (787) 612-7527.

What is Lavoratorio Clinico San Antonio Inc's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Is Lavoratorio Clinico San Antonio Inc enrolled in Medicare?

Yes. Lavoratorio Clinico San Antonio Inc is registered in the Medicare PECOS enrollment system.

When is Lavoratorio Clinico San Antonio Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Puerto Rico, Independent Clinical Laboratory) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

When was this NPI record last updated?

The NPPES record for Lavoratorio Clinico San Antonio Inc was last updated on November 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.