Provider Demographics
NPI:1437885803
Name:MISLABORATORIOSROSARIOLLC
Entity Type:Organization
Organization Name:MISLABORATORIOSROSARIOLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HECTOR
Authorized Official - Middle Name:JAVIER
Authorized Official - Last Name:ROSARIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-308-5862
Mailing Address - Street 1:A24 CALLE C
Mailing Address - Street 2:
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00987-7102
Mailing Address - Country:US
Mailing Address - Phone:787-308-5862
Mailing Address - Fax:
Practice Address - Street 1:JARDINES DE CAROLINA
Practice Address - Street 2:CALLE C A#24
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00987-0098
Practice Address - Country:US
Practice Address - Phone:787-308-5862
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-28
Last Update Date:2022-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246RM2200XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyMedical LaboratoryGroup - Single Specialty