Laboratorio Clinico Gordo Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

LABORATORIO CLINICO GORDO INC.

Practice address

71 Calle Carazo
Guaynabo, PR 00969-5700

Phone

(787) 720-3643

Fax

(787) 272-0833

NPI assigned

May 16, 2006

Organization subpart

No

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

Authorized official

Name

Lillian Maria Gordo, LCDA

Title

Propietaria

Phone

(787) 720-3643

Specialties & licenses 1

Addresses

Other names 1

• Laboratorio Clinico Gordo Inc Former legal business name

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Laboratorio Clinico Gordo

  • Clinical Medical Laboratory
  • Guaynabo, PR
  • NPI 1730281833
  NPD (past)

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595548800000",
    "number": "1801848361",
    "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": [
        {
            "address_1": "Ave. Apolo Esq. Sirce",
            "address_2": "Centro Comercial Apolo",
            "address_purpose": "LOCATION",
            "city": "Guaynabo",
            "state": "PR",
            "postal_code": "00969",
            "country_code": "US",
            "telephone_number": "787-720-6777",
            "fax_number": "787-720-4445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LABORATORIO CLINICO GORDO INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2020-07-24",
        "certification_date": "2020-07-24",
        "status": "A",
        "authorized_official_last_name": "GORDO",
        "authorized_official_first_name": "LILLIAN",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "PROPIETARIA",
        "authorized_official_telephone_number": "787-720-3643",
        "authorized_official_credential": "LCDA"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laboratorio Clinico Gordo Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Laboratorio Clinico Gordo Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• 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 Jul 24, 2020; 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.