LABORATORIO CLINICO Y DE REF DE FAJARDO INC
Complete NPI Record 1639908643
Clinical Medical Laboratory in Rio Grande, PR
Active since July 29, 2024
Complete NPI Dataset
This page contains the complete raw NPPES record for Laboratorio Clinico Y De Ref De Fajardo Inc (NPI 1639908643), a clinical medical laboratory organization in Rio Grande, PR. All 27 fields on file are listed with their current values and official NPPES definitions, exactly as recorded in the National Plan and Provider Enumeration System. Only fields that contain data are included, so the number of fields shown varies from one NPI record to another.
Use the tools below to filter fields by category, search within the record, or jump straight to a specific field. You can download the full record as a CSV, JSON, or text file, or filter first and export only the fields you need. The Print Clean Summary button produces a printer-friendly copy of the record.
Registry File Document Utilities
- NPI: 1639908643 Field 1/27
- The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
- Entity Type Code: 2 Field 2/27
- Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
- Employer Identification Number EIN: Not available Field 3/27
- The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
- Provider Organization Name Legal Business Name: LABORATORIO CLINICO Y DE REF DE FAJARDO INC Field 4/27
- The name of the organization provider. If the provider is an organization, this is the legal business name.
- Provider First Line Business Mailing Address: PO BOX 70006 Field 5/27
- The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
- Provider Business Mailing Address City Name: FAJARDO Field 6/27
- The city name in the mailing address of the provider being identified.
- Provider Business Mailing Address State Name: PR Field 7/27
- The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
- Provider Business Mailing Address Postal Code: 007387006 Field 8/27
- The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
- Provider Business Mailing Address Country Code If outside U S : US Field 9/27
- The country code in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address country code".
- Provider Business Mailing Address Telephone Number: 7878010081 Field 10/27
- The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
- Provider First Line Business Practice Location Address: NUMERO 200 CALLE MANUEL PIMENTEL Y CASTRO Field 11/27
- The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
- Provider Business Practice Location Address City Name: RIO GRANDE Field 12/27
- The city name in the location address of the provider being identified.
- Provider Business Practice Location Address State Name: PR Field 13/27
- The State code in the location of the provider being identified.
- Provider Business Practice Location Address Postal Code: 00745 Field 14/27
- The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
- Provider Business Practice Location Address Country Code If outside U S : US Field 15/27
- The country code in the location address of the provider being identified.
- Provider Business Practice Location Address Telephone Number: 7879367676 Field 16/27
- The telephone number associated with the location address of the provider being identified.
- Authorized Official Last Name: OLIVERAS-LAGUNA Field 19/27
- The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
- Authorized Official First Name: ANA Field 20/27
- The first name of the authorized official.
- Authorized Official Middle Name: J. Field 21/27
- The middle name of the authorized official.
- Authorized Official Title or Position: ADMINISTRATOR Field 22/27
- The title or position of the authorized official.
- Authorized Official Telephone Number: 7878010081 Field 23/27
- The 10-position telephone number of the authorized official.
- Healthcare Provider Taxonomy Code 1: 291U00000X Field 24/27
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Healthcare Provider Primary Taxonomy Switch 1: Y Field 25/27
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Is Organization Subpart: N Field 26/27
- Indicates whether the provider is a subpart of a larger organization. This is a single-character code: "Y" means the entity is an organizational subpart, while "N" means it is not. Subparts typically include hospital departments, clinics, or other distinct units that fall under a parent organization.
Other Organization Names 1
Additional business and trade names this provider has on file with the NPPES registry.
LABORATORIO CLINICO CDT DE RIO GRANDE Doing Business As
Name 1/1Doing Business As: A trade name or operating name under which an organization provides services, distinct from its registered legal business name.
No registry entries match your active lookup criteria.
