Provider Demographics
NPI:1144571928
Name:CYNTHIA RODRIGUEZ
Entity Type:Organization
Organization Name:CYNTHIA RODRIGUEZ
Other - Org Name:LABORATORIO CLINICO BIO-MEDIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PROPIETOR
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MT
Authorized Official - Phone:787-546-8484
Mailing Address - Street 1:URB FUENTEBELLA 1562
Mailing Address - Street 2:
Mailing Address - City:TOA ALTA
Mailing Address - State:PR
Mailing Address - Zip Code:00953-3417
Mailing Address - Country:US
Mailing Address - Phone:787-200-9550
Mailing Address - Fax:787-200-9550
Practice Address - Street 1:CARR NUM 2 KM. 16.1 BO CANDELARIA
Practice Address - Street 2:
Practice Address - City:TOA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00949-0033
Practice Address - Country:US
Practice Address - Phone:787-200-9550
Practice Address - Fax:787-200-9550
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-20
Last Update Date:2012-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1259291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory