1902802671 NPI number — LABORATORIO CLINICO PENA POBRE CSP

Table of content: (NPI 1902802671)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1902802671 NPI number — LABORATORIO CLINICO PENA POBRE CSP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
LABORATORIO CLINICO PENA POBRE CSP
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:
1902802671
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:
BH12 CALLE 33 VILLA UNIVERSITARIA
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HUMACAO
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00791-4363
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-874-1698
Provider Business Mailing Address Fax Number:
787-874-1698

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
ROAD 31 KM 13.0
Provider Second Line Business Practice Location Address:
BO PENA POBRE
Provider Business Practice Location Address City Name:
NAGUABO
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00718
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-874-1698
Provider Business Practice Location Address Fax Number:
787-874-1698
Provider Enumeration Date:
06/27/2005

Additional Information

Authorized Official

Authorized Official Last Name:
ROSADO ROSADO
Authorized Official First Name:
RAMONA
Authorized Official Middle Name:
Authorized Official Title or Position:
LABORATORY DIRECTOR
Authorized Official Telephone Number:
787-874-1698

Provider Taxonomy Codes

  • Taxonomy code: 291U00000X , with the licence number:  872 , 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: 872 . This is a "STATE LICENSE NUMBER" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".




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