NPIMap

Organization Active NPI

Laboratorio Clinico Galiza Inc

  • Clinical Medical Laboratory
  • Toa Alta, PR
National Provider Identifier
1184377426
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
LABORATORIO CLINICO GALIZA INC
Practice address
Centro Comercial la Terraza Local 5
Carretera PR 165 KM 4.7 Bo Quebrada Cruz
Toa Alta, PR 00953
Phone
(787) 625-2200
Fax
(939) 333-3477
NPI assigned
Jan 27, 2022
Last updated
Jan 27, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2022

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

Authorized official

Name
Lisamar Rolon GuzmanNPI 1679020481
Title
Supervisor
Phone
(787) 625-2200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

Centro Comercial la Terraza Local 5
Carretera PR 165 KM 4.7 Bo Quebrada Cruz
Toa Alta, PR 00953

Mailing address

Urb Villa Matilde Calle 1 A10
Toa Alta, PR 00953
Phone (787) 625-2200

Other names 1

  • LABORATORIO CLINICO GALIZA Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Laboratorio Clinico Galiza Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1643241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643241600000",
    "number": "1184377426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB VILLA MATILDE CALLE 1 A10",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "00953",
            "telephone_number": "787-625-2200",
            "fax_number": "939-333-3477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CENTRO COMERCIAL LA TERRAZA LOCAL 5",
            "address_2": "CARRETERA PR 165 KM 4.7 BO QUEBRADA CRUZ",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "00953",
            "telephone_number": "787-625-2200",
            "fax_number": "939-333-3477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO GALIZA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-27",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-18",
        "status": "A",
        "authorized_official_last_name": "GUZMAN",
        "authorized_official_first_name": "LISAMAR",
        "authorized_official_middle_name": "ROLON",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "787-625-2200"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LABORATORIO CLINICO GALIZA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Toa Alta, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; 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.