NPIMap

Organization Active NPI

San Lazargerd Medical Center, CSP

  • Multi-Specialty Clinic/Center
  • Lares, PR
National Provider Identifier
1487956850
Registry record updated Nov 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
SAN LAZARGERD MEDICAL CENTER, CSP
Practice address
Carr. 129 KM 27.3
Carr. 129 KM 27.3
Lares, PR 00669
Phone
(787) 897-3979
NPI assigned
Nov 17, 2010
Last updated
Nov 17, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2010

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

Authorized official

Name
Dr. Gerardo Gonzalez, M.D
Title
President
Phone
(787) 897-3979

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

Carr. 129 KM 27.3
Carr. 129 KM 27.3
Lares, PR 00669

Mailing address

Bo. Pueblo Carr. 129 KM 27.3
Lares, PR 00669
Phone (787) 897-3979

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1289952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289952000000",
    "number": "1487956850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BO. PUEBLO CARR. 129 KM 27.3",
            "city": "LARES",
            "state": "PR",
            "postal_code": "00669",
            "telephone_number": "787-897-3979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. 129 KM 27.3",
            "address_2": "CARR. 129 KM 27.3",
            "city": "LARES",
            "state": "PR",
            "postal_code": "00669",
            "telephone_number": "787-897-3979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN LAZARGERD MEDICAL CENTER, CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-17",
        "last_updated": "2010-11-17",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "GERARDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-897-3979",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lares, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2010; 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.