Active NPI
Margarita Cruz Gonzalez, LAB CLINICO ARECIBO
- Clinical Medical Laboratory
- Arecibo, PR
National Provider Identifier
1306016456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 832
- Practice address
- KM 63.1
Bo Candelaria
Arecibo, PR 00612 - Phone
- (787) 881-0436
- NPI assigned
- Mar 5, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 832 | PR | Primary |
Addresses
Primary practice location
KM 63.1
Bo Candelaria
Arecibo, PR 00612
Mailing address
PO Box 568
Sabana Hoyos, PR 00688
Phone (787) 881-0436
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080312000065 | PR | Part B Supplier - Independent Clinical Laboratory | 4385729532 | Practice locations: Arecibo, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 832 | PR | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716422400000",
"number": "1306016456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 568",
"city": "SABANA HOYOS",
"state": "PR",
"postal_code": "00688",
"telephone_number": "787-881-0436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "KM 63.1",
"address_2": "BO CANDELARIA",
"city": "ARECIBO",
"state": "PR",
"postal_code": "00612",
"telephone_number": "787-881-0436"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUZ GONZALEZ",
"first_name": "MARGARITA",
"credential": "LAB CLINICO ARECIBO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-05",
"last_updated": "2024-05-23",
"certification_date": "2024-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "PR",
"license": "832",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arecibo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; 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.