Ausberto Gonzalez

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

AUSBERTO GONZALEZ

Doing business as

Laboratorio Clinico Lajas Arriba

Practice address

117 St. KM 5.5 Lajas Arriba
Lajas, PR 00667

Phone

(787) 899-3045

Fax

(787) 899-3045

NPI assigned

May 4, 2007

Last updated

Jul 8, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Ausberto Gonzalez, M.T.

Title

Owner

Phone

(787) 899-3045

Specialties & licenses 1

Addresses

Other names 1

• Laboratorio Clinico Lajas Arriba Doing business as

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404777600000",
    "number": "1972715779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 599",
            "city": "YAUCO",
            "state": "PR",
            "postal_code": "006980599",
            "telephone_number": "787-899-3045",
            "fax_number": "787-899-3045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 ST. KM 5.5 LAJAS ARRIBA",
            "city": "LAJAS",
            "state": "PR",
            "postal_code": "00667",
            "telephone_number": "787-899-3045",
            "fax_number": "787-899-3045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSBERTO GONZALEZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2014-07-08",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "AUSBERTO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-899-3045",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.T."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laboratorio Clinico Lajas Arriba",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Providers in Lajas, 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 8, 2014; 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.