Provider Demographics
NPI:1457001778
Name:JL RIVERA & SONS INC
Entity Type:Organization
Organization Name:JL RIVERA & SONS INC
Other - Org Name:EXPRESS CLINICAL LAB
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:C
Authorized Official - Last Name:RIVERA IRIZARRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-617-0761
Mailing Address - Street 1:PO BOX 1853
Mailing Address - Street 2:
Mailing Address - City:GUAYAMA
Mailing Address - State:PR
Mailing Address - Zip Code:00785-1853
Mailing Address - Country:US
Mailing Address - Phone:787-864-0630
Mailing Address - Fax:787-558-0633
Practice Address - Street 1:CALLE ASHFORD #86 ESQ. CALLE RETIRO
Practice Address - Street 2:
Practice Address - City:GUAYAMA
Practice Address - State:PR
Practice Address - Zip Code:00784
Practice Address - Country:US
Practice Address - Phone:787-864-0630
Practice Address - Fax:787-558-0633
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JL RIVERA & SONS INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-03-28
Last Update Date:2023-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory