Organization Active NPI

Mariana Gonzalez Santiago

  • Clinical Medical Laboratory
  • Toa Baja, PR
National Provider Identifier
1992851034
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
0577 Issued in PR
Legal business name
MARIANA GONZALEZ SANTIAGO
Practice address
Calle Luis Munoz Rivera 40
Toa Baja, PR 00951
Phone
(787) 794-2240
Fax
(787) 794-2240
NPI assigned
Jan 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Mariana Gonzalez Santiago, MTNPI 1386817369
Title
Director
Phone
(787) 794-2240

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 0577 PR Primary

Addresses

Primary practice location

Calle Luis Munoz Rivera 40
Toa Baja, PR 00951

Mailing address

PO Box 2488
Toa Baja, PR 00951-2488
Phone (787) 794-2240

Other names 1

  • Laboratorio Clinico Toa Baja Doing business as

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.

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992851034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2488",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009512488",
            "telephone_number": "787-794-2240",
            "fax_number": "787-794-2240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE LUIS MUNOZ RIVERA 40",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "00951",
            "telephone_number": "787-794-2240",
            "fax_number": "787-794-2240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIANA GONZALEZ SANTIAGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ SANTIAGO",
        "authorized_official_first_name": "MARIANA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "787-794-2240",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "0577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laboratorio Clinico Toa Baja",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Toa Baja, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.