Provider Demographics
NPI:1033372164
Name:LABORATORIO CLINICO COMERIO INC
Entity Type:Organization
Organization Name:LABORATORIO CLINICO COMERIO INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:RIOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-941-0688
Mailing Address - Street 1:4 CALLE JOSE DE DIEGO
Mailing Address - Street 2:
Mailing Address - City:COMERIO
Mailing Address - State:PR
Mailing Address - Zip Code:00782-2527
Mailing Address - Country:US
Mailing Address - Phone:787-875-3510
Mailing Address - Fax:787-875-3510
Practice Address - Street 1:4 CALLE JOSE DE DIEGO
Practice Address - Street 2:
Practice Address - City:COMERIO
Practice Address - State:PR
Practice Address - Zip Code:00782-2527
Practice Address - Country:US
Practice Address - Phone:787-875-3510
Practice Address - Fax:787-875-3510
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-09
Last Update Date:2023-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR604291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory