Provider Demographics
NPI:1073288965
Name:LABORATORIO CLINICO BIRRIEL LLC
Entity Type:Organization
Organization Name:LABORATORIO CLINICO BIRRIEL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENTA
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:BIRRIEL
Authorized Official - Suffix:
Authorized Official - Credentials:LCDA
Authorized Official - Phone:787-266-9111
Mailing Address - Street 1:URB MONTE BRISAS
Mailing Address - Street 2:CALLE H # A39
Mailing Address - City:FAJARDO
Mailing Address - State:PR
Mailing Address - Zip Code:00738
Mailing Address - Country:US
Mailing Address - Phone:787-266-9111
Mailing Address - Fax:
Practice Address - Street 1:URB MONTE BRISAS
Practice Address - Street 2:CALLE H NO. A39
Practice Address - City:FAJARDO
Practice Address - State:PR
Practice Address - Zip Code:00738
Practice Address - Country:US
Practice Address - Phone:787-266-9111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-12
Last Update Date:2022-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory