Organization Active NPI

David Mendez Gonzalez

Doing business as Laboratorio Clinico Flores

  • Clinical Medical Laboratory
  • Morovis, PR
National Provider Identifier
1629101696
Registry record updated Jun 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
LIC608 Issued in PR
Legal business name
DAVID MENDEZ GONZALEZ
Doing business as
Laboratorio Clinico Flores
Practice address
Calle Comercio 14
Morovis, PR 00687-0427
Phone
(787) 862-4230
Fax
(787) 862-4229
NPI assigned
Mar 13, 2007
Last updated
Jun 22, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2016

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

Authorized official

Name
Mrs. Nirma I Flores Chevere, MT
Title
Director
Phone
(787) 862-4230

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X LIC608 PR Primary

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 names 1

  • Laboratorio Clinico Flores Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090206000066 PR Part B Supplier - Independent Clinical Laboratory 1951465939 1 other NPI on this enrollment
Practice locations: Morovis, PR

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory

Locations

14 Calle Comercio
Morovis, PR 00687
Phone (787) 862-4230

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466553600000",
    "number": "1629101696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 427",
            "city": "MOROVIS",
            "state": "PR",
            "postal_code": "006870427",
            "telephone_number": "787-862-4230",
            "fax_number": "787-862-4229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE COMERCIO 14",
            "city": "MOROVIS",
            "state": "PR",
            "postal_code": "006870427",
            "telephone_number": "787-862-4230",
            "fax_number": "787-862-4229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID MENDEZ GONZALEZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2016-06-22",
        "status": "A",
        "authorized_official_last_name": "FLORES CHEVERE",
        "authorized_official_first_name": "NIRMA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "787-862-4230",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "LIC608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laboratorio Clinico Flores",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Morovis, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2016; 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.