Provider Demographics
NPI:1205408226
Name:LABORATORIO CLINICO TRIXYMAR JARDINES DE ARROYO
Entity Type:Organization
Organization Name:LABORATORIO CLINICO TRIXYMAR JARDINES DE ARROYO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:TRIMARY
Authorized Official - Middle Name:
Authorized Official - Last Name:TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-839-8888
Mailing Address - Street 1:PO BOX 97
Mailing Address - Street 2:
Mailing Address - City:MAUNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00707-0097
Mailing Address - Country:US
Mailing Address - Phone:787-839-8888
Mailing Address - Fax:787-839-8822
Practice Address - Street 1:URB JARDINES DE ARROYO
Practice Address - Street 2:CALLE B E-8
Practice Address - City:ARROYO
Practice Address - State:PR
Practice Address - Zip Code:00714
Practice Address - Country:US
Practice Address - Phone:787-839-8888
Practice Address - Fax:787-839-8822
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TRIXYMAR INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-07-12
Last Update Date:2021-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory