Omar Javier Gonzalez Lopez, LABOTARORIO CARMAR

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

451 Issued in PR

Practice address

54 Calle Carrion Maduro Sur
Cayey, PR 00736-0073

Phone

(787) 738-9595

Fax

(787) 738-1414

NPI assigned

Apr 26, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gonzalez Lopez Inc

  • Clinical Medical Laboratory
  • Cayey, PR
  • NPI 1023139052
  NPD

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

{
    "created_epoch": "1556236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556323200000",
    "number": "1154985976",
    "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": "54 CALLE CARRION MADURO SUR",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "007360073",
            "telephone_number": "787-738-9595",
            "fax_number": "787-738-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ LOPEZ",
        "first_name": "OMAR",
        "middle_name": "JAVIER",
        "credential": "LABOTARORIO CARMAR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-26",
        "last_updated": "2019-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1023139052",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gonmac LLC
• Sacha Cristin Marrie Gonzalez Aviles, M.D
• Shelin Gonzalez Bosch
• Maria Alejandra Gonzalez de Jesus
• Gonzalez Lopez Inc
• Jose Miguel Gonzalez Maclean, MD
• Dilka I. Gonzalez-Ortiz, MD
• Carmen M Gonzalez, RPH
• Marie D Gonzalez, MD
• Mildred Gonzalez

• Clinical Medical Laboratory in Cayey, PR
• Providers in Cayey, 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 27, 2019; 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.