1750410387 NPI number — LABORATORIO CLINICO MORSE INC.

Table of content: (NPI 1750410387)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1750410387 NPI number — LABORATORIO CLINICO MORSE INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
LABORATORIO CLINICO MORSE 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:
1750410387
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/07/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 328
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ARROYO
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00714-2350
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-271-1111
Provider Business Mailing Address Fax Number:
787-271-2771

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
203 CALLE MORSE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ARROYO
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00714-2350
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-271-1111
Provider Business Practice Location Address Fax Number:
787-271-2771
Provider Enumeration Date:
03/02/2007

Additional Information

Authorized Official

Authorized Official Last Name:
TORRES
Authorized Official First Name:
ELIZABETH
Authorized Official Middle Name:
M
Authorized Official Title or Position:
TECNOLOGA MEDICO
Authorized Official Telephone Number:
787-271-1111

Provider Taxonomy Codes

  • Taxonomy code: 291U00000X , with the licence number:  1071 , 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: 1071 . This is a "LICENCIA DEL LABORATORIO" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".




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