Organization Active NPI

Comerio Medical Hospital Inc

Doing business as Comerio Medical Center Laboratory

  • Clinical Medical Laboratory
  • Comerio, PR
National Provider Identifier
1467486019
Registry record updated May 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
1062 Issued in PR
Legal business name
COMERIO MEDICAL HOSPITAL INC
Doing business as
Comerio Medical Center Laboratory
Practice address
Street 778 KM 0.9 Bo Pasarell
Comerio, PR 00782
Phone
(787) 875-3136
Fax
(787) 875-4904
NPI assigned
Jul 10, 2006
Last updated
May 20, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2014

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

Authorized official

Name
Dr. Luis M Gonzalez, MD
Title
President
Phone
(787) 316-1212

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 1062 PR Primary

Addresses

Primary practice location

Street 778 KM 0.9 Bo Pasarell
Comerio, PR 00782

Mailing address

PO Box 1103
Comerio, PR 00782-1103
Phone (787) 875-3136

Other names 1

  • COMERIO MEDICAL CENTER LABORATORY Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400544000000",
    "number": "1467486019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1103",
            "city": "COMERIO",
            "state": "PR",
            "postal_code": "007821103",
            "telephone_number": "787-875-3136",
            "fax_number": "787-875-4904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "STREET 778 KM 0.9 BO PASARELL",
            "city": "COMERIO",
            "state": "PR",
            "postal_code": "00782",
            "telephone_number": "787-875-3136",
            "fax_number": "787-875-4904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMERIO MEDICAL HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2014-05-20",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-316-1212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "1062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COMERIO MEDICAL CENTER LABORATORY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Comerio, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2014; 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.