Gladysiris Carrasquillo, MT

Primary specialty

Medical TechnologistTaxonomy code 246QM0706X

License

6204 Issued in PR

Practice address

125 Mansiones del Caribe Ac-11
Humacao, PR 00791-5206

Phone

(787) 453-5989

NPI assigned

Aug 31, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Medical Technician

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Laboratorio Clinico Y Bacteriologico Gladyan Inc.

  • Clinical Medical Laboratory
  • Yabucoa, PR
  • NPI 1750573200
  NPD (past)

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

{
    "created_epoch": "1188518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188518400000",
    "number": "1366636482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 CALLE CATALINA MORALES",
            "address_2": "SUITE 2",
            "city": "YABUCOA",
            "state": "PR",
            "postal_code": "007673305",
            "telephone_number": "787-266-3300",
            "fax_number": "787-266-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 MANSIONES DEL CARIBE AC-11",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007915206",
            "telephone_number": "787-453-5989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRASQUILLO",
        "first_name": "GLADYSIRIS",
        "name_prefix": "Mrs.",
        "credential": "MT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-31",
        "last_updated": "2007-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246QM0706X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology, Medical Technologist",
            "state": "PR",
            "license": "6204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caribbean Therapeutic & Educational Group Inc.
• Nahir Ivette Carino Romero
• Carlos E. Jimenez Huyke MD PSC
• Maria Enid Carradero, RPH
• Alexander Carrasquillo
• Juan Carrasquillo Sr.
• Yetsenia Carrasquillo
• Carrillo Cardiovascular Medicine LLC
• Juan Ernesto Carrillo Navas, M.D
• Jorge C Carrillo

• Medical Technologist in Humacao, PR
• Providers in Humacao, PR by specialty
• Medical Technologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2007; 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.