Individual provider Active NPI

Dawilmar Franco Ginorio, MT

  • Clinical Medical Laboratory
  • Hatillo, PR
National Provider Identifier
1437318664
Registry record updated Dec 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
769 Issued in PR
Practice address
71 Calle PH Hernandez
Hatillo, PR 00659-2007
Phone
(787) 898-4020
Fax
(787) 820-5927
NPI assigned
Jun 3, 2008
Last updated
Dec 2, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 769 PR Primary

Addresses

Primary practice location

71 Calle PH Hernandez
Hatillo, PR 00659-2007

Mailing address

71 Calle PH Hernandez
Hatillo, PR 00659-2007
Phone (787) 898-4020

Other names 1

  • Laboratorio Clinico Rodriguez Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080821000119 PR Part B Supplier - Independent Clinical Laboratory 0941370423 Practice locations: Hatillo, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Medical Technician

State licenses

LicenseStateTypeSpecialty
769PRMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Farmacia San Marcos Inc CurrentSince Sep 29, 2024 Accepting new patients
Dauilmar Franco Ginoro Clinical Medical Laboratory Past Accepting new patients
LJ Health Group Inc Clinical Medical Laboratory PastSince Oct 25, 2019 Accepting new patients

Locations

71 Calle Ph Hernandez
Hatillo, PR 00659
Phone (787) 898-4020

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385942400000",
    "number": "1437318664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 CALLE PH HERNANDEZ",
            "city": "HATILLO",
            "state": "PR",
            "postal_code": "006592007",
            "telephone_number": "787-898-4020",
            "fax_number": "787-820-5927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 CALLE PH HERNANDEZ",
            "city": "HATILLO",
            "state": "PR",
            "postal_code": "006592007",
            "telephone_number": "787-898-4020",
            "fax_number": "787-820-5927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANCO GINORIO",
        "first_name": "DAWILMAR",
        "credential": "MT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-03",
        "last_updated": "2013-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LABORATORIO",
            "last_name": "RODRIGUEZ",
            "middle_name": "CLINICO",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Hatillo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2013; 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.