Active NPI
Gonzalez Lopez Inc
Doing business as Laboratorio Clinico Lopez 2
- Clinical Medical Laboratory
- Cayey, PR
National Provider Identifier
1023139052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- GONZALEZ LOPEZ INC
- Doing business as
- Laboratorio Clinico Lopez 2
- Practice address
- Calle Carrion Maduro
#54 Sur
Cayey, PR 00736 - Phone
- (787) 738-9595
- Fax
- (787) 738-1414
- NPI assigned
- Apr 3, 2007
- Last updated
- Feb 28, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Omar J. Gonzalez
- Title
- Owner/President
- Phone
- (787) 738-9900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | NU | Primary |
Addresses
Primary practice location
Calle Carrion Maduro
#54 Sur
Cayey, PR 00736
Mailing address
PO Box 372140
Cayey, PR 00737-2140
Phone (787) 738-9595
Other names 1
- Laboratorio Clinico Lopez 2
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200601000535 | PR | Part B Supplier - Independent Clinical Laboratory | 4587085535 | Practice locations: Cayey, PR |
National Provider Directory
National Provider DirectoryLocations
54 Calle Carrion Maduro
Cayey, PR 00736
Phone (787) 738-5955
56 Calle Munoz Rivera
Ste 6
Juncos, PR 00777
Phone (787) 734-5188
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Medical Laboratory
- Cayey, PR
- NPI 1154985976
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1582848000000",
"number": "1023139052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 372140",
"city": "CAYEY",
"state": "PR",
"postal_code": "007372140",
"telephone_number": "787-738-9595",
"fax_number": "787-738-1414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE CARRION MADURO",
"address_2": "#54 SUR",
"city": "CAYEY",
"state": "PR",
"postal_code": "00736",
"telephone_number": "787-738-9595",
"fax_number": "787-738-1414"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GONZALEZ LOPEZ INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-03",
"last_updated": "2020-02-28",
"certification_date": "2020-02-28",
"status": "A",
"authorized_official_last_name": "GONZALEZ",
"authorized_official_first_name": "OMAR",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "787-738-9900"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Laboratorio Clinico Lopez 2",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cayey, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.