Active NPI
Global Vytronics PSC
- Clinical Medical Laboratory
- San Juan, PR
National Provider Identifier
1326287756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 5539
- Legal business name
- GLOBAL VYTRONICS PSC
- Practice address
- 502 Calle Riaza
San Juan, PR 00923-2120 - Phone
- (787) 963-0977
- Fax
- (787) 963-0977
- NPI assigned
- Feb 9, 2009
- Last updated
- Sep 10, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Wanda E Gomez
- Title
- President
- Phone
- (787) 635-2840
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 5539 | PR | Primary |
Addresses
Primary practice location
502 Calle Riaza
San Juan, PR 00923-2120
Mailing address
PO Box 21406
San Juan, PR 00928-1406
Phone (787) 635-2840
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100301000358 | PR | Part B Supplier - Independent Clinical Laboratory | 0345385449 | Practice locations: San Juan, PR |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Laboratorio Clinico Raiza
- Radiology Clinic/Center
- San Juan, PR
- NPI 1295431070
0345385449
National Provider Directory
National Provider Directory- Tax ID family
- Global Vytronics PSC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Laboratorio Clinico Raiza
- Radiology Clinic/Center
- San Juan, PR
- NPI 1295431070
Locations
527 Calle Riaza
San Juan, PR 00923
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
dba Laboratorio Clinico Raiza
- Radiology Clinic/Center
- San Juan, PR
- NPI 1295431070
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234137600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1631232000000",
"number": "1326287756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 21406",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009281406",
"telephone_number": "787-635-2840",
"fax_number": "787-963-0977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "502 CALLE RIAZA",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009232120",
"telephone_number": "787-963-0977",
"fax_number": "787-963-0977"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GLOBAL VYTRONICS PSC",
"organizational_subpart": "NO",
"enumeration_date": "2009-02-09",
"last_updated": "2021-09-10",
"certification_date": "2021-09-10",
"status": "A",
"authorized_official_last_name": "GOMEZ",
"authorized_official_first_name": "WANDA",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "787-635-2840"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "PR",
"license": "5539",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; 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.