Provider Demographics
NPI:1053512392
Name:LABORATORIO CIMA-MAUNABO-PATILLAS, INC
Entity Type:Organization
Organization Name:LABORATORIO CIMA-MAUNABO-PATILLAS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENTE
Authorized Official - Prefix:MR
Authorized Official - First Name:JUAN
Authorized Official - Middle Name:MANUEL
Authorized Official - Last Name:CINTRON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-893-5544
Mailing Address - Street 1:PO BOX 243
Mailing Address - Street 2:
Mailing Address - City:YABUCOA
Mailing Address - State:PR
Mailing Address - Zip Code:00767-0243
Mailing Address - Country:US
Mailing Address - Phone:787-839-2065
Mailing Address - Fax:787-893-1839
Practice Address - Street 1:CALLE RIEFKHOL NUM 27
Practice Address - Street 2:
Practice Address - City:PATILLAS
Practice Address - State:PR
Practice Address - Zip Code:00723
Practice Address - Country:US
Practice Address - Phone:787-839-2065
Practice Address - Fax:787-839-5232
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LABORATORIO CLINICO CIMA III
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-05-31
Last Update Date:2008-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR439291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory