Provider Demographics
NPI:1114251048
Name:LABORATORIO CLINICO FIGUEROA P S C
Entity Type:Organization
Organization Name:LABORATORIO CLINICO FIGUEROA P S C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CARLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:FIGUEROA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-531-7673
Mailing Address - Street 1:CALLE GIRASOL #41
Mailing Address - Street 2:URB. LA ALIANZA
Mailing Address - City:MOROVIS
Mailing Address - State:PR
Mailing Address - Zip Code:00687
Mailing Address - Country:US
Mailing Address - Phone:787-531-7673
Mailing Address - Fax:
Practice Address - Street 1:CARR 155 # KM 58.5
Practice Address - Street 2:BO. PUGNADO ADENTRO
Practice Address - City:VEGA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00693-5243
Practice Address - Country:US
Practice Address - Phone:787-531-7673
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-24
Last Update Date:2010-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6663291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory