Laboratorio Clinico Guaynabo

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

713 Issued in PR

Legal business name

LABORATORIO CLINICO GUAYNABO

Practice address

26 Calle Herminio Diaz Navarro
Guaynabo, PR 00969-5616

Phone

(787) 720-5556

Fax

(787) 789-6816

NPI assigned

Jun 1, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Maria D Garcia-Ducos, MS,MT, ASCP

Title

Laboratory Director

Phone

(787) 720-5556

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320883200000",
    "number": "1811999089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 CALLE HERMINIO DIAZ NAVARRO",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009695616",
            "telephone_number": "787-720-5556",
            "fax_number": "787-789-6816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 CALLE HERMINIO DIAZ NAVARRO",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009695616",
            "telephone_number": "787-720-5556",
            "fax_number": "787-789-6816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO GUAYNABO",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-01",
        "last_updated": "2011-11-10",
        "status": "A",
        "authorized_official_last_name": "GARCIA-DUCOS",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "LABORATORY DIRECTOR",
        "authorized_official_telephone_number": "787-720-5556",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS,MT, ASCP"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laboratorio Clinico del Pueblo Inc
• Laboratorio Clinico Esmeralda Inc
• Laboratorio Clinico Garnier
• Laboratorio Clinico Gordo
• Laboratorio Clinico Gordo Inc.
• Laboratorio Clinico Jomyr III, LLC
• Laboratorio Clinico Lagos de Plata 2
• Laboratorio Clinico Las Colinas Inc.
• Laboratorio Clinico Munoz Rivera Inc
• Laboratorio Clinico Plaza Caparra

• 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 Nov 10, 2011; 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.