1588730923 NPI number — LABORATORIO CLINICO DEL PARQUE INC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1588730923 NPI number — LABORATORIO CLINICO DEL PARQUE INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
LABORATORIO CLINICO DEL PARQUE INC
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:
1588730923
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/31/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 41028
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAN JUAN
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00940-1028
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-724-4161
Provider Business Mailing Address Fax Number:
787-724-4161

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
352 CALLE DEL PARQUE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SAN JUAN
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00912-3702
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-724-4161
Provider Business Practice Location Address Fax Number:
787-724-4161
Provider Enumeration Date:
11/28/2006

Additional Information

Authorized Official

Authorized Official Last Name:
HIRALDO
Authorized Official First Name:
CARLOS
Authorized Official Middle Name:
M
Authorized Official Title or Position:
DIRECTOR
Authorized Official Telephone Number:
787-724-4161

Provider Taxonomy Codes

  • Taxonomy code: 291U00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 20137 . This is a "AMERICAN HEALTH INC" identifier . This identifiers is of the category "OTHER".
  • Identifier: 660491943 . This is a "AMERICAN HEALTH MEDICARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 9090086 . This is a "HUMANA HMO POS MEDICAL" identifier . This identifiers is of the category "OTHER".
  • Identifier: 660491943 . This is a "HUMANA GOLD CHOICE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 660491943 . This is a "MEDICAL CARD SYSTEM REFOR" identifier . This identifiers is of the category "OTHER".
  • Identifier: 660491943 . This is a "OPTION HEALTH CARE NETWOR" identifier . This identifiers is of the category "OTHER".
  • Identifier: 9090086 . This is a "HUMANA HEALTH PLAN OF PR" identifier . This identifiers is of the category "OTHER".
  • Identifier: 051667 . This is a "LA CRUZ AZUL DE PUERTO RI" identifier . This identifiers is of the category "OTHER".
  • Identifier: 660491943 . This is a "COSVIMED" identifier . This identifiers is of the category "OTHER".
  • Identifier: 660491943 . This is a "CIGNA PROVIDER SERVICES" identifier . This identifiers is of the category "OTHER".
  • Identifier: 660491943 . This is a "MAPFRE EXCEL" identifier . This identifiers is of the category "OTHER".
  • Identifier: LA037 . This is a "PAN AMERICAN LIFE INS CO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 660491943 . This is a "MCS CLASSICARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 660491943 . This is a "MEDICAL CARD SYSTEM" identifier . This identifiers is of the category "OTHER".
  • Identifier: 800464 . This is a "MMM HEALTHCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 400322 . This is a "PREFERRED" identifier . This identifiers is of the category "OTHER".
  • Identifier: 660491943 . This is a "INTERNATIONAL MEDICAL CAR" identifier . This identifiers is of the category "OTHER".
  • Identifier: 660491943 . This is a "MAPFRE LIFE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 660491943 . This is a "PALIC PROVIDER NETWORK" identifier . This identifiers is of the category "OTHER".




Copyright © 2007-2026 www.npivalidator.com