Provider Demographics
NPI:1275538357
Name:AMARILIS FIGUEROA ALVAREZ
Entity Type:Organization
Organization Name:AMARILIS FIGUEROA ALVAREZ
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TECNOLOGA MEDICA
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMARILIS
Authorized Official - Middle Name:
Authorized Official - Last Name:FIGUEROA
Authorized Official - Suffix:
Authorized Official - Credentials:LIC
Authorized Official - Phone:787-885-2270
Mailing Address - Street 1:PO BOX 1638
Mailing Address - Street 2:
Mailing Address - City:CEIBA
Mailing Address - State:PR
Mailing Address - Zip Code:00735-1638
Mailing Address - Country:US
Mailing Address - Phone:787-885-2270
Mailing Address - Fax:787-885-1820
Practice Address - Street 1:296 AVE LAURO PINERO
Practice Address - Street 2:
Practice Address - City:CEIBA
Practice Address - State:PR
Practice Address - Zip Code:00735-2703
Practice Address - Country:US
Practice Address - Phone:787-885-2270
Practice Address - Fax:787-885-1820
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-16
Last Update Date:2010-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1004291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR30191Medicare ID - Type UnspecifiedLABORATORIO