Laboratorio Clinico Aguadeno

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

813 Issued in PR

Legal business name

LABORATORIO CLINICO AGUADENO

Doing business as

Luz M Gonzalez

Practice address

56 Calle Estacion
Aguada, PR 00602-3231

Phone

(787) 868-7095

NPI assigned

Nov 2, 2006

Last updated

Dec 10, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Luz M Gonzalez, MTNPI 1710123682

Title

Director

Phone

(787) 868-7095

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• LUZ M GONZALEZ Doing business as

Locations

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.

• Luz M Gonzalez

  • Clinical Medical Laboratory
  • Aguada, PR
  • NPI 1710123682
  Authorized official Same address or phone

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228867200000",
    "number": "1124106570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 393",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006020393",
            "telephone_number": "787-868-7095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 CALLE ESTACION",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006023231",
            "telephone_number": "787-868-7095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO AGUADENO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2008-12-10",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "LUZ",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "17878687095",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "813",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA NUMBER",
            "identifier": "40D0689954",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LUZ M GONZALEZ",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kya Medical Health Services
• La Cruz de Colon Pharmacy, Inc
• Gustavo Abdiel Laabes Gonzalez, M.D.
• Laabes Medical PSC
• Laboratorio Clinica San Francisco
• Laboratorio Clinico Colon, Inc
• Laboratorio Clinico Irizarry Guasch Inc
• Laboratorio Clinico Jaimar II Inc
• Laboratorio Clinico Porta del Sol, P.S.C.
• Laboratorio Gadiel, Inc

• Clinical Medical Laboratory in Aguada, PR
• Providers in Aguada, 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 Dec 10, 2008; 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.