Provider Demographics
NPI:1225016140
Name:LABORATORIO DE PATOLOGIA DR NOY
Entity Type:Organization
Organization Name:LABORATORIO DE PATOLOGIA DR NOY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRADOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MIGUEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:NOY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-751-1312
Mailing Address - Street 1:PO BOX 362842
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00936-2842
Mailing Address - Country:US
Mailing Address - Phone:787-751-1312
Mailing Address - Fax:787-751-5158
Practice Address - Street 1:239 ARTERIAL HOSTOS
Practice Address - Street 2:SUITE 1-A SOTANO CAPITAL CENTER TORREL
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918
Practice Address - Country:US
Practice Address - Phone:787-751-1312
Practice Address - Fax:787-756-0575
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-03
Last Update Date:2010-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR264B207ZP0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic PathologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
2100371OtherACCA
611101OtherHUMANA GOLD CHOICE
2659OtherINTERNATIONAL MEDICAL CAR
069915OtherLA CRUZ AZUL DE PR
800073OtherMMM HEALTHCARE INC
9360108OtherHUMANA INSURANCE COMPANY
0940699OtherFONDO DEL SEGURO DEL ESTA
22685OtherASOCIACION DE MAESTROS DE
=========OtherPLAN SALUD HOSPITAL GENER
=========OtherMAFRE LIFE
=========OtherMEDICAL CARD SYSTEMS
=========OtherGOLDEN CROSS HEALTH PLAN
=========OtherAMERICAN HEALTH
=========OtherATLANTIC CARE MEDICAL
=========OtherCIGNA INSURANCE
=========OtherINTEGRATE COMMUNITY HEALT
069915OtherLA CRUZ AZUL DE PR
9360108OtherHUMANA INSURANCE COMPANY
=========OtherATLANTIC CARE MEDICAL
=========OtherCOOPERATIVO SEGUROS DE VI