Grupo Clinico del Norte CSP

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

1124 Issued in PR

Legal business name

GRUPO CLINICO DEL NORTE CSP

Practice address

Bo Brenas Carr 693 KM 14.7
Vega Alta, PR 00692

Phone

(787) 915-7700

Fax

(787) 915-7700

NPI assigned

Apr 2, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Milagros Gonzalez, BSMT ASCP

Title

President Supervisor

Phone

(787) 915-7700

Specialties & licenses 1

Addresses

Other names 1

• Laboratorio Clinico Dan Vicente II Doing business as

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Grupo Clinico del Norte CSP

  • Clinical Medical Laboratory
  • Vega Baja, PR
  • NPI 1730275900

  O20040823000086

  Same enrollment

Tax ID family

Grupo Clinico del Norte CSP3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Grupo Clinico del Norte CSP

  • Clinical Medical Laboratory
  • Vega Alta, PR
  • NPI 1447411863
  NPD tax ID
• Grupo Clinico del Norte CSP

  • Clinical Medical Laboratory
  • Vega Baja, PR
  • NPI 1730275900
  NPD tax ID

Practitioners 1

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

• Noel Roderick Morales

  • Critical Care Medicine (Obstetrics & Gynecology) Physician
  • Vega Baja, PR
  • NPI 1760421226
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207094400000",
    "number": "1104098896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BOX 3244",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "00674",
            "telephone_number": "787-915-7700",
            "fax_number": "787-915-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BO BRENAS CARR 693 KM 14.7",
            "city": "VEGA ALTA",
            "state": "PR",
            "postal_code": "00692",
            "telephone_number": "787-915-7700",
            "fax_number": "787-915-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRUPO CLINICO DEL NORTE CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-02",
        "last_updated": "2008-04-02",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "MILAGROS",
        "authorized_official_title_or_position": "PRESIDENT SUPERVISOR",
        "authorized_official_telephone_number": "787-915-7700",
        "authorized_official_credential": "BSMT ASCP"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "1124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laboratorio Clinico Dan Vicente II",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gonasa Corp
• Illiana Y Gonzalez Cruz
• Gloria Gonzalez Gotay
• Ramon L Gonzalez Leon, M.D.
• Wilma C Gonzalez, M.S.W., P.H.D.
• Grupo Clinico del Norte CSP
• Liana Idaliz Guerrero, PHL
• Frances I Guzman Martinez, SLPA
• Lehymir Marie Guzman
• Hamed Corp

• Clinical Medical Laboratory in Vega Alta, PR
• Providers in Vega Alta, PR by specialty
• Clinical Medical Laboratory in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; 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.