Organization Active NPI

Gladys Moreno Rodriguez

Doing business as Laboratorio Clinico Laderas

  • Clinical Medical Laboratory
  • Caguas, PR
National Provider Identifier
1093941064
Registry record updated Jul 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
1187 Issued in PR
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

Updated by the provider on Jul 28, 2009

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.