Provider Demographics
NPI:1952315657
Name:GLOBAL DIAGNOSTICS, INC
Entity Type:Organization
Organization Name:GLOBAL DIAGNOSTICS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR & COO
Authorized Official - Prefix:
Authorized Official - First Name:MARIO
Authorized Official - Middle Name:ESTUARDO
Authorized Official - Last Name:MIJANGOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-466-1332
Mailing Address - Street 1:848 CALLE HOSTOS
Mailing Address - Street 2:URB. HYDE PARK
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00927-4216
Mailing Address - Country:US
Mailing Address - Phone:787-758-8018
Mailing Address - Fax:787-758-0048
Practice Address - Street 1:848 CALLE HOSTOS
Practice Address - Street 2:URB. HYDE PARK
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00927-4216
Practice Address - Country:US
Practice Address - Phone:787-758-8018
Practice Address - Fax:787-758-0048
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-28
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR293D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR9270165OtherHUMANA
PR218148OtherPREFERRED HEALTH
PR100716OtherCRUZ AZUL DE PUERTO RICO
PR=========OtherPAN AMERICAN LIFE INS CO
PR=========OtherCOSVI
PR=========OtherMAPFRE
PR=========OtherINTL MEDICAL CARD
PR218148OtherPREFERRED HEALTH
PR=========OtherCOSVI