Organization · Type 2 NPI

Wal-Mart Puerto Rico Inc

Clinical Medical Laboratory · Barceloneta, PR

NPI number 1235444522 Active

Practice location

Carr #2 Km 56.8, Bo. Florida Afuera
Barceloneta, PR 00617

Call (787) 970-8105 Map

Fax (787) 970-8115

Mailing address

1 Customer Dr, Ms 0445
Bentonville, AR 72716-0445

Specialties and licenses

Taxonomy	Code	License
Clinical Medical Laboratory Primary	291U00000X	None listed

Clinical Medical Laboratory: (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 det…

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NPI record

NPI: 1235444522
Entity type: Organization (Type 2)
Issued: Aug 11, 2010
Last updated: Jul 17, 2026
Status: Active

Other names

<unavail>
Walmart Vision Center 30-2302 · doing business as
Walmart Vision Center #2302 · other name

Authorized official

Kimberly Canonic
SR Director
(480) 853-0515

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1235444522

Wal-Mart Puerto Rico Inc's National Provider Identifier is 1235444522, issued on Aug 11, 2010. The primary taxonomy on file is Clinical Medical Laboratory (291U00000X), and the practice location is in Barceloneta, PR. The record was last updated on Jul 17, 2026.