Giacrimar Corp

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

443 Issued in PR

Legal business name

GIACRIMAR CORP

Doing business as

Laboratorio Clinico Roman

Practice address

208 Ave Jose de Diego
Arecibo, PR 00612-4585

Phone

(787) 878-4670

Fax

(787) 816-6948

NPI assigned

Mar 3, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Juan Carlos Gonzalez

Title

President

Phone

(787) 878-4670

Specialties & licenses 1

Addresses

Other names 1

• LABORATORIO CLINICO ROMAN Doing business as

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216166400000",
    "number": "1407823800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1554",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006131554",
            "telephone_number": "787-878-4670",
            "fax_number": "787-816-6948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 AVE JOSE DE DIEGO",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006124585",
            "telephone_number": "787-878-4670",
            "fax_number": "787-816-6948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIACRIMAR CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-03",
        "last_updated": "2008-07-16",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "CARLOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-878-4670",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LABORATORIO CLINICO ROMAN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Medical Laboratory in Arecibo, PR
• Providers in Arecibo, PR by specialty
• Clinical Medical Laboratory in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; 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.