Provider Demographics
NPI:1164525051
Name:LABORATORIO CLINICO EUROPA INC
Entity Type:Organization
Organization Name:LABORATORIO CLINICO EUROPA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:MERCEDES
Authorized Official - Middle Name:C
Authorized Official - Last Name:AVILES-LEBRON
Authorized Official - Suffix:
Authorized Official - Credentials:MEDICAL TECHNOLOGIST
Authorized Official - Phone:787-723-5213
Mailing Address - Street 1:CALLE M PAVIA 619
Mailing Address - Street 2:ESQ ASIA
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00909
Mailing Address - Country:US
Mailing Address - Phone:787-723-5213
Mailing Address - Fax:787-727-7146
Practice Address - Street 1:CALLE M PAVIA 619
Practice Address - Street 2:ESQ ASIA
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00909
Practice Address - Country:US
Practice Address - Phone:787-723-5213
Practice Address - Fax:787-727-7146
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR248291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR38143Medicare ID - Type UnspecifiedCLINICAL LABORATORY