Organization Active NPI

Global Vytronics PSC

  • Clinical Medical Laboratory
  • San Juan, PR
National Provider Identifier
1326287756
Registry record updated Sep 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
5539 Issued in PR
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, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2021

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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).

National Provider Directory

National Provider Directory
Tax ID family
Global Vytronics PSC2 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.

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.

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.

Verify at the official NPI Registry.