Active NPI
Gold Star Medical LLC
- Clinical Medical Laboratory
- Hormigueros, PR
National Provider Identifier
1013794072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- GOLD STAR MEDICAL LLC
- Practice address
- 2 Ave Luis Munoz Marin
Hormigueros, PR 00660-1737 - Phone
- (787) 673-1238
- NPI assigned
- Sep 13, 2023
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Shahid M Chaudhary, MD
- Title
- Medical Director
- Phone
- (787) 673-1238
National Provider Directory
National Provider DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2 Ave Luis Munoz Marin
Hormigueros, PR 00660-1737
Mailing address
2 Ave Luis Munoz Marin
Hormigueros, PR 00660-1737
Phone (787) 673-1238
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 13, 2023.
{
"created_epoch": "1694563200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1694563200000",
"number": "1013794072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 AVE LUIS MUNOZ MARIN",
"city": "HORMIGUEROS",
"state": "PR",
"postal_code": "006601737",
"telephone_number": "787-673-1238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 AVE LUIS MUNOZ MARIN",
"city": "HORMIGUEROS",
"state": "PR",
"postal_code": "006601737",
"telephone_number": "787-673-1238"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOLD STAR MEDICAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-09-13",
"last_updated": "2023-09-13",
"certification_date": "2023-09-11",
"status": "A",
"authorized_official_last_name": "CHAUDHARY",
"authorized_official_first_name": "SHAHID",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "787-673-1238",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hormigueros, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.