NPIMap

Organization Active NPI

Laboratorio Clinico Gordo

  • Clinical Medical Laboratory
  • Guaynabo, PR
National Provider Identifier
1447428974
Registry record updated Feb 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
105 Issued in PR
Legal business name
LABORATORIO CLINICO GORDO
Practice address
71 Calle Carazo
Guaynabo, PR 00969-5700
Phone
(787) 720-3643
Fax
(787) 272-0833
NPI assigned
Feb 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2008

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

Authorized official

Name
Lillian Maria Gordo, MT
Title
Director
Phone
(787) 720-3643

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 105 PR Primary

Addresses

Primary practice location

71 Calle Carazo
Guaynabo, PR 00969-5700

Mailing address

71 Calle Carazo
Guaynabo, PR 00969-5700
Phone (787) 720-3643

National Provider Directory

National Provider Directory

Locations

71 Calle Carazo
Guaynabo, PR 00969
Phone (787) 720-3643

NPI Registry JSON

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203379200000",
    "number": "1447428974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 CALLE CARAZO",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009695700",
            "telephone_number": "787-720-3643",
            "fax_number": "787-272-0833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 CALLE CARAZO",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009695700",
            "telephone_number": "787-720-3643",
            "fax_number": "787-272-0833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO GORDO",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-19",
        "last_updated": "2008-02-19",
        "status": "A",
        "authorized_official_last_name": "GORDO",
        "authorized_official_first_name": "LILLIAN",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "787-720-3643",
        "authorized_official_credential": "MT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; 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.