1922092246 NPI number — LABORATORIO CLINICO KARBAN

Table of content: (NPI 1922092246)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1922092246 NPI number — LABORATORIO CLINICO KARBAN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
LABORATORIO CLINICO KARBAN
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1922092246
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3 AVE JOSE DE JESUS ESTEVES
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
AGUADILLA
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00603-6621
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-891-3737
Provider Business Mailing Address Fax Number:
787-891-3737

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3 AVE JOSE DE JESUS ESTEVES
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
AGUADILLA
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00603-6621
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-891-3737
Provider Business Practice Location Address Fax Number:
787-891-3737
Provider Enumeration Date:
08/31/2005

Additional Information

Authorized Official

Authorized Official Last Name:
QUINONES DE KARBAN
Authorized Official First Name:
CARMEN
Authorized Official Middle Name:
L.
Authorized Official Title or Position:
LAB. DIRECTOR
Authorized Official Telephone Number:
787-891-3737

Provider Taxonomy Codes

  • Taxonomy code: 291U00000X , with the licence number:  402 , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 402 . This is a "UIA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 06733 . This is a "ASSOC. MAESTROS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 20043 . This is a "AMERICAN HEALTH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 6030026 . This is a "HUMANA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 6399 . This is a "FIRST PLUS" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 30226 . This is a "TRIPLE S INC" identifier . This identifiers is of the category "OTHER".
  • Identifier: 20098 . This is a "PMC" identifier . This identifiers is of the category "OTHER".
  • Identifier: 400564 . This is a "PREFERRED HEALTH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 050546 . This is a "CRUZ AZUL" identifier . This identifiers is of the category "OTHER".




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