OrganizationActive
Laboratorio Clinico Country Club
NPI 1154308674 · Clinical Medical Laboratory · San Juan, PR
Laboratorio Clinico Country Club is a Clinical Medical Laboratory organization in San Juan, PR (NPI 1154308674).
Provider details
- NPI number
- 1154308674
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Edwin Cardona, Owner(787) 748-4102
- License
- 147 (PR)
Specialties & taxonomies
Laboratories
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
#758 Ave Campo Rico
Country Club
San Juan, PR 00924
Phone: (787) 750-0510
Fax: (787) 257-1110
Street-level locationGet directions
Mailing address
1353 Carr. #19
Guaynabo, PR 00966-2701
Registry dates
- Enumerated
- 2005-12-27
- Last updated
- 2008-10-21
Frequently asked questions
- What is Laboratorio Clinico Country Club's NPI number?
- Laboratorio Clinico Country Club's National Provider Identifier (NPI) is 1154308674, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Laboratorio Clinico Country Club?
- Laboratorio Clinico Country Club is classified in the NPPES registry as Clinical Medical Laboratory (Laboratories).
- Where is Laboratorio Clinico Country Club located?
- Laboratorio Clinico Country Club's practice location on file with NPPES is #758 Ave Campo Rico, San Juan, PR 00924.
- What is Laboratorio Clinico Country Club's phone number?
- The practice phone number listed in the NPPES registry for Laboratorio Clinico Country Club is (787) 750-0510.
- Who is the authorized official for Laboratorio Clinico Country Club?
- The authorized official listed on Laboratorio Clinico Country Club's NPPES record is Edwin Cardona, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Laboratorio Clinico Country Club's NPI active?
- Yes — Laboratorio Clinico Country Club's NPI (1154308674) is active in the NPPES registry as of the last update on 2008-10-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.