Active NPI
Gladys Moreno Rodriguez
Doing business as Laboratorio Clinico Laderas
- Clinical Medical Laboratory
- Caguas, PR
National Provider Identifier
1093941064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 1187
- Legal business name
- GLADYS MORENO RODRIGUEZ
- Doing business as
- Laboratorio Clinico Laderas
- Practice address
- Carretera # 1
KM. 26.9 Sector la Changa , Barrio Rio Canas
Caguas, PR 00725-6163 - Phone
- (787) 744-0777
- Fax
- (787) 744-0777
- NPI assigned
- Jun 4, 2009
- 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
- Mrs. Gladys Moreno, MT, ASCP
- Title
- Medical Technologist- Owner
- Phone
- (787) 744-0777
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 1187 | PR | Primary |
Addresses
Primary practice location
Carretera # 1
KM. 26.9 Sector la Changa , Barrio Rio Canas
Caguas, PR 00725-6163
Mailing address
T17 Calle 10
Urb. Santa Juana 3
Caguas, PR 00725-2079
Phone (787) 744-0777
Other names 1
- Laboratorio Clinico Laderas
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Medical Technologist
- Caguas, PR
- NPI 1609020437
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244073600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1248739200000",
"number": "1093941064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "T17 CALLE 10",
"address_2": "URB. SANTA JUANA 3",
"city": "CAGUAS",
"state": "PR",
"postal_code": "007252079",
"telephone_number": "787-744-0777",
"fax_number": "787-744-0777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARRETERA # 1",
"address_2": "KM. 26.9 SECTOR LA CHANGA , BARRIO RIO CANAS",
"city": "CAGUAS",
"state": "PR",
"postal_code": "007256163",
"telephone_number": "787-744-0777",
"fax_number": "787-744-0777"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GLADYS MORENO RODRIGUEZ",
"organizational_subpart": "NO",
"enumeration_date": "2009-06-04",
"last_updated": "2009-07-28",
"status": "A",
"authorized_official_last_name": "MORENO",
"authorized_official_first_name": "GLADYS",
"authorized_official_title_or_position": "MEDICAL TECHNOLOGIST- OWNER",
"authorized_official_telephone_number": "787-744-0777",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MT, ASCP"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "PR",
"license": "1187",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Laboratorio Clinico Laderas",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Caguas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.