Organization Active NPI

Laabes Medical PSC

  • Primary Care Clinic/Center
  • Aguada, PR
National Provider Identifier
1801192901
Registry record updated Jun 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
LAABES MEDICAL PSC
Practice address
Carr 417 KM 2.7
Bo Malpaso
Aguada, PR 00602-9857
Phone
(787) 868-8811
NPI assigned
Feb 7, 2011
Last updated
Jun 18, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2020

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

Authorized official

Name
Dr. Gustavo A Laabes, M.D.
Title
President
Phone
(787) 585-7580

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X
Clinic/Center 261Q00000X 17717 PR
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

Carr 417 KM 2.7
Bo Malpaso
Aguada, PR 00602-9857

Mailing address

510 Calle Francisco Camacho Apt 1104
Isabela, PR 00662-2442
Phone (787) 585-7580

Other identifiers 1

IdentifierTypeStateIssuer
17717OtherPRPUERTO RICO BOARD OF LICENSING AND MEDICAL DISCIPLINES

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1297036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592438400000",
    "number": "1801192901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 CALLE FRANCISCO CAMACHO APT 1104",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006622442",
            "telephone_number": "787-585-7580",
            "fax_number": "787-868-8811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 417 KM 2.7",
            "address_2": "BO MALPASO",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006029857",
            "telephone_number": "787-868-8811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAABES MEDICAL PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-07",
        "last_updated": "2020-06-18",
        "certification_date": "2020-06-18",
        "status": "A",
        "authorized_official_last_name": "LAABES",
        "authorized_official_first_name": "GUSTAVO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-585-7580",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PR",
            "license": "17717",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PUERTO RICO BOARD OF LICENSING AND MEDICAL DISCIPLINES",
            "identifier": "17717",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguada, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2020; 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.