Organization Active NPI

Gonzalez Lopez Inc

Doing business as Laboratorio Clinico Lopez 2

  • Clinical Medical Laboratory
  • Cayey, PR
National Provider Identifier
1023139052
Registry record updated Feb 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2020

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200601000535 PR Part B Supplier - Independent Clinical Laboratory 4587085535 Practice locations: Cayey, PR

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.