Gabriel Laborde Corretjer, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

12694 Issued in PR

Practice address

1679 Calle Tinto
Urb. Rio Piedras Heights
San Juan, PR 00926-3233

Phone

(787) 370-1519

NPI assigned

Jun 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Grupo Medico San Carlos

  • Clinic/Center
  • San Juan, PR
  • NPI 1356506844
  NPD (past)

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357603200000",
    "number": "1730122433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1679 CALLE TINTO",
            "address_2": "URB. RIO PIEDRAS HEIGHTS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009263233",
            "telephone_number": "787-370-1519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1679 CALLE TINTO",
            "address_2": "URB. RIO PIEDRAS HEIGHTS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009263233",
            "telephone_number": "787-370-1519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABORDE CORRETJER",
        "first_name": "GABRIEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2013-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "12694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laboratorio Ipa508 Belaval
• Laboratorio Los Robles Inc
• Laboratorio Nuclear Metropolitano Inc (Sonumet)
• Laboratorios San Juan PSC
• Laboratoro Clinico Expreso Trujillo Alto Inc
• Janine Laborde Sanfiorenzo, M.D.
• Vanesa Laboy Colon
• Joed Marie Laboy Descartes, M.D.
• Gladys Maria Laboy Garcia, PHD
• Samariz Laboy Hernandez, PHD

• General Practice Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.