Organization Active NPI

Gilda Wilson Clinical Laboratory

  • Clinical Medical Laboratory
  • Ponce, PR
National Provider Identifier
1386785533
Registry record updated Aug 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
0012 Issued in PR
Legal business name
GILDA WILSON CLINICAL LABORATORY
Practice address
31 Mayor St
Ponce, PR 00730-3726
Phone
(787) 842-0112
Fax
(787) 842-0112
NPI assigned
Feb 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2007

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

Authorized official

Name
Mrs. Gilda Wilson, MT
Title
Medical Technologist Owner
Phone
(787) 842-0112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 0012 PR Primary

Addresses

Primary practice location

31 Mayor St
Ponce, PR 00730-3726

Mailing address

31 Mayor St
Ponce, PR 00730-3726
Phone (787) 842-0112

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186358400000",
    "number": "1386785533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 MAYOR ST",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007303726",
            "telephone_number": "787-842-0112",
            "fax_number": "787-842-0112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 MAYOR ST",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007303726",
            "telephone_number": "787-842-0112",
            "fax_number": "787-842-0112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILDA WILSON CLINICAL LABORATORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2007-08-06",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "GILDA",
        "authorized_official_title_or_position": "MEDICAL TECHNOLOGIST OWNER",
        "authorized_official_telephone_number": "787-842-0112",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "0012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.