Provider Demographics
NPI:1831506344
Name:GO GOGO FOUNDATION
Entity type:Organization
Organization Name:GO GOGO FOUNDATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:UISES
Authorized Official - Middle Name:
Authorized Official - Last Name:CLAVELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-974-2679
Mailing Address - Street 1:291 MONTERREY ST.
Mailing Address - Street 2:URB. INDUSTRIAL REPARADA
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00716
Mailing Address - Country:US
Mailing Address - Phone:787-651-7003
Mailing Address - Fax:
Practice Address - Street 1:291 CALLE MONTERREY
Practice Address - Street 2:URB. INDUSTRIAL REPARADA
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00716-0376
Practice Address - Country:US
Practice Address - Phone:787-651-7003
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-16
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QA0005XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Family Planning Facility
No152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
No332H00000XSuppliersEyewear Supplier