Laboratorio Clinico Gordo

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

105 Issued in PR

Practice address

71 Calle Carazo
Guaynabo, PR 00969-5700

Phone

(787) 720-3643

Fax

(787) 272-0833

NPI assigned

Sep 1, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Laboratorio Clinico Gordo Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Laboratorio Clinico Gordo Inc.

  • Clinical Medical Laboratory
  • Guaynabo, PR
  • NPI 1801848361
  NPD (past)

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202428800000",
    "number": "1730281833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 CALLE CARAZO",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009695700",
            "telephone_number": "787-720-3643",
            "fax_number": "787-272-0833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 CALLE CARAZO",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009695700",
            "telephone_number": "787-720-3643",
            "fax_number": "787-272-0833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDO",
        "first_name": "LABORATORIO",
        "middle_name": "CLINICO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2008-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LABORATORIO",
            "last_name": "GORDO",
            "middle_name": "CLINICO",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Mariela Gonzalez
• Mariela S. Gonzalez, RPH
• Melanee Gonzalez
• Pedro Gonzalez
• Sayra Gonzalez, PSY.D.
• Eduardo Gorrochategui Vigoreaux, M.D.
• Freddie Gracia Colon, 1858P
• Alejandro Grajales Mercado, 1528P
• Rafael Enrique Graulau
• Alfred Wagner Greer, PHARMD

• Clinical Medical Laboratory in Guaynabo, PR
• Providers in Guaynabo, 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 Feb 8, 2008; 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.