San Lazargerd Medical II Csp
NPI 1841600624ActiveOrganization· General Practice· Lares, PR
General Practice in Lares, Puerto Rico, registered in NPPES in May 2014. The authorized official on file is Geraldo Gonzalez, M.D., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1841600624 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 2, 2014 |
| Last updated in NPPES | Oct 16, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | 13643 | PR |
| Clinic/Center, Multi-Specialty | 261QM1300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (PR) |
|---|
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