Provider Demographics
NPI:1356074314
Name:LABORATORIO CLINICO AILI
Entity Type:Organization
Organization Name:LABORATORIO CLINICO AILI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:AILI
Authorized Official - Middle Name:
Authorized Official - Last Name:PLAZA
Authorized Official - Suffix:
Authorized Official - Credentials:MT
Authorized Official - Phone:787-829-4004
Mailing Address - Street 1:PO BOX 1130
Mailing Address - Street 2:
Mailing Address - City:ADJUNTAS
Mailing Address - State:PR
Mailing Address - Zip Code:00601-1130
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9 CALLE RIUS RIVERA
Practice Address - Street 2:
Practice Address - City:ADJUNTAS
Practice Address - State:PR
Practice Address - Zip Code:00601-2338
Practice Address - Country:US
Practice Address - Phone:787-829-4004
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-07
Last Update Date:2022-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory