Laboratorio Clinico Bacteriologico Lares Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

609 Issued in PR

Legal business name

LABORATORIO CLINICO BACTERIOLOGICO LARES INC

Practice address

2 Calle San Jose Ste 2
Lares, PR 00669-2431

Phone

(787) 897-2625

Fax

(787) 897-2625

NPI assigned

Aug 18, 2005

Last updated

Aug 26, 2016By 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

Milagros J Gonzalez, MT

Title

Director

Phone

(787) 897-2625

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Laboratorio Clinico Bacteriologico Lares Inc Former legal business name

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

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.

• Geraldo Gonzalez, M.D.

  • General Practice Physician
  • Lares, PR
  • NPI 1164590816
  NPD

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472169600000",
    "number": "1295727865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 156",
            "city": "LARES",
            "state": "PR",
            "postal_code": "006690156",
            "telephone_number": "787-897-2625",
            "fax_number": "787-897-2625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CALLE SAN JOSE STE 2",
            "city": "LARES",
            "state": "PR",
            "postal_code": "006692431",
            "telephone_number": "787-897-2625",
            "fax_number": "787-897-2625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO BACTERIOLOGICO LARES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-18",
        "last_updated": "2016-08-26",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "MILAGROS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "787-897-2625",
        "authorized_official_credential": "MT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BILLER ID",
            "identifier": "7000009416",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laboratorio Clinico Bacteriologico Lares Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• JL Critical Transport LLC
• Jr Ambulance Services Inc.
• Juan M Lopez Collazo (Lopez Ambulance)
• Camila E Jusino, M.D
• Laboratorio Clinico Amador
• Laboratorio Clinico San Martin
• Lares Medical Center Inc
• Lares Medical Center Inc
• Lares Medical Center Inc
• Lares Medical Center Inc

• Clinical Medical Laboratory in Lares, PR
• Providers in Lares, 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 Aug 26, 2016; 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.