Provider Demographics
NPI:1235258872
Name:LABORATORIO CARDIOVASCULAR MUNOZ MARIN
Entity Type:Organization
Organization Name:LABORATORIO CARDIOVASCULAR MUNOZ MARIN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CARDIOLOGY
Authorized Official - Prefix:
Authorized Official - First Name:ROBERTO
Authorized Official - Middle Name:
Authorized Official - Last Name:MUNOZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-726-4196
Mailing Address - Street 1:1446 AMERICO SALAS
Mailing Address - Street 2:
Mailing Address - City:SANTURCE
Mailing Address - State:PR
Mailing Address - Zip Code:00909
Mailing Address - Country:US
Mailing Address - Phone:787-726-4196
Mailing Address - Fax:787-722-7403
Practice Address - Street 1:1446 AMERICO SALAS
Practice Address - Street 2:
Practice Address - City:SANTURCE
Practice Address - State:PR
Practice Address - Zip Code:00909
Practice Address - Country:US
Practice Address - Phone:787-726-4196
Practice Address - Fax:787-722-7403
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5829293D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR220262OtherPREFERED HEALTH
PR66961OtherCRUZ AZUL
PR2883OtherPREFERED MEDICARE CHOICE
PR97384MUOtherTRIPLE S
PRN596OtherFIRST MEDICAL
PR8000429OtherHUMANA
PR65657OtherCRUZ AZUL
PRSE3393OtherPALIC
PR600063OtherMEDICARE Y MUCHO MAS
PR65657OtherCRUZ AZUL
PR8000429OtherHUMANA