Johanny Ortiz Lopez Psc
Clinical Medical Laboratory in Salinas, PR. Organization (NPI-2).
Details
- NPI
- 1154905693
- Entity type
- Organization (NPI-2)
- Legal business name
- Johanny Ortiz Lopez Psc
- Organization subpart
- No
- Enumeration date
- May 11, 2021
- Certification date
- Dec 19, 2024
- Last updated
- Dec 19, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - INDEPENDENT CLINICAL LABORATORY
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | – | – | Yes |
Practice location
Pr 3 Km 158.5 Urb. Minima La Carmen229 Suite B
Salinas, PR 00751-2319
Phone 787-824-4333 · Fax 787-824-4333
Mailing address
Pr 3 Km 158.5 Urb. Minima La Carmen229 Suite B
Salinas, PR 00751-2319
Phone 787-824-4333 · Fax 787-824-4333
Authorized official
William A Martinez Diaz
President
7876020252
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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