Provider Demographics
NPI:1770658130
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:E
Authorized Official - Last Name:MIJANGOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-466-1332
Mailing Address - Street 1:1845 CARRETERA #2
Mailing Address - Street 2:BAYAMON MEDICAL PLAZA, SUITE 910
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00960
Mailing Address - Country:US
Mailing Address - Phone:787-740-7903
Mailing Address - Fax:787-779-0754
Practice Address - Street 1:1845 CARRETERA #2
Practice Address - Street 2:BAYAMON MEDICAL PLAZA, SUITE 910
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00960
Practice Address - Country:US
Practice Address - Phone:787-740-7903
Practice Address - Fax:787-779-0754
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0057315Medicare ID - Type Unspecified