David Mendez Gonzalez
Organization Active NPI Clinical Medical Laboratory · Morovis, PR
NPI 1629101696 · NPPES record last updated Jun 22, 2016
Key facts
- NPI
- 1629101696
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Medical Laboratory 291U00000X
- License
- LIC608 (PR)
- Legal business name
- DAVID MENDEZ GONZALEZ
- Practice address
- Calle Comercio 14
Morovis, PR 00687-0427 - Phone
- (787) 862-4230
- Fax
- (787) 862-4229
- NPI assigned
- Mar 13, 2007
- Organization subpart
- No
Authorized official
- Name
- Mrs. Nirma I Flores Chevere, MT
- Title
- Director
- Phone
- (787) 862-4230
Other NPIs on the same Medicare enrollment 1
-
Nirma Iris Flores, MT LIC 1894
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090206000066 | PR | Part B Supplier - Independent Clinical Laboratory | 1951465939 |
1 other NPI on this enrollment Practice locations: Morovis, PR |
National Provider Directory
Locations
14 Calle Comercio
Morovis, PR 00687
Phone (787) 862-4230
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | LIC608 | PR | Yes |
Addresses
Primary practice location
Calle Comercio 14
Morovis, PR 00687-0427
Mailing address
PO Box 427
Morovis, PR 00687-0427
Phone (787) 862-4230
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40D0670594 | Other | CLIA |
Other names
- Laboratorio Clinico Flores
Other providers in Morovis, PR
- Nancy M Colon
- Noel Colon
- Cordobesa LLC
- Elias E Cruz
- CVP Medical Group PSC
- Teresa De Jesus Perez
- Francisco Javier Del Rio Ferrer
- Lynette Delgado
- Dental Torres PSC
- Dr Francisco del Rio Ferrer PSC
All providers in Morovis, PR · Clinical Medical Laboratory in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 22, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.