Active NPI
Grayco Inc.
- Clinical Medical Laboratory
- Bayamon, PR
National Provider Identifier
1952088015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- GRAYCO INC.
- Practice address
- Plaza Rio Hondo Mall
Local 3R Suite 201
Bayamon, PR 00961 - Phone
- (787) 261-2270
- NPI assigned
- Jun 30, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jose A Negron Ortega
- Title
- Owner/President
- Phone
- (787) 384-5971
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
Plaza Rio Hondo Mall
Local 3R Suite 201
Bayamon, PR 00961
Mailing address
PO Box 862
Sabana Seca, PR 00952-0862
Phone (787) 261-2270
Other names 1
- Laboratorio Clinico Plaza Rio Hondo
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130412000343 | PR | Part B Supplier - Independent Clinical Laboratory | 1456597640 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Bayamon, PR; Toa Baja, PR |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Tax ID family
- Grayco Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Medical Laboratory
- Toa Baja, PR
- NPI 1609135896
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688083200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1688083200000",
"number": "1952088015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 862",
"city": "SABANA SECA",
"state": "PR",
"postal_code": "009520862",
"telephone_number": "787-261-2270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PLAZA RIO HONDO MALL",
"address_2": "LOCAL 3R SUITE 201",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00961",
"telephone_number": "787-261-2270"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRAYCO INC.",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-30",
"last_updated": "2023-06-30",
"certification_date": "2023-06-30",
"status": "A",
"authorized_official_last_name": "NEGRON ORTEGA",
"authorized_official_first_name": "JOSE",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "787-384-5971",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Laboratorio Clinico Plaza Rio Hondo",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bayamon, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; 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.