Grayco Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

1256 Issued in PR

Legal business name

GRAYCO INC.

Doing business as

Laboratorio Clinico Plaza Rio Hondo 2

Practice address

Local 2517 Ave. Boulevard
Levittown
Toa Baja, PR 00949

Phone

(787) 261-8900

NPI assigned

May 9, 2012

Last updated

Jun 28, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jose A Negron Ortega

Title

Owner/Director

Phone

(787) 261-8900

Specialties & licenses 1

Addresses

Other names 1

• Laboratorio Clinico Plaza Rio Hondo 2 Doing business as

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Grayco Inc.

  dba Laboratorio Clinico Plaza Rio Hondo

  • Clinical Medical Laboratory
  • Bayamon, PR
  • NPI 1952088015

  O20130412000343

  Same enrollment

Tax ID family

Grayco Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Grayco Inc.

  dba Laboratorio Clinico Plaza Rio Hondo

  • Clinical Medical Laboratory
  • Bayamon, PR
  • NPI 1952088015
  NPD tax ID

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

{
    "created_epoch": "1336521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687910400000",
    "number": "1609135896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 862",
            "city": "SABANA SECA",
            "state": "PR",
            "postal_code": "009520862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LOCAL 2517 AVE. BOULEVARD",
            "address_2": "LEVITTOWN",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "00949",
            "telephone_number": "787-261-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAYCO INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-09",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A",
        "authorized_official_last_name": "NEGRON ORTEGA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "787-261-8900"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "1256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laboratorio Clinico Plaza Rio Hondo 2",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Laboratorio Clinico Plaza Rio Hondo 2",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Isaac Gonzalez, M.D.
• Jeffrey E Gonzalez, MD
• Jem Marie Gonzalez
• Luz C Gonzalez, PHARMACIST
• William Grassette Melendez, MD
• Grupo Medico de Rio Hondo Y Levittown, PSC
• Grupo Medico Dr Rodriguez Blanco PSC
• Grupo Medico la Amistad, Inc.
• Rafael C Guzman Fonalledas, M.D.
• Nelsida Guzman Marcelino, MSW

• Clinical Medical Laboratory in Toa Baja, PR
• Providers in Toa Baja, 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 Jun 28, 2023; 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.