Provider Demographics
NPI:1477543197
Name:MARIA DE LOS ANGELES SANTANA LEBRON
Entity Type:Organization
Organization Name:MARIA DE LOS ANGELES SANTANA LEBRON
Other - Org Name:LABORATORIO CLINICO PUNTA SANTIAGO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARIA DE LOS
Authorized Official - Middle Name:A
Authorized Official - Last Name:SANTANA
Authorized Official - Suffix:
Authorized Official - Credentials:MT
Authorized Official - Phone:787-852-8545
Mailing Address - Street 1:PO BOX 931
Mailing Address - Street 2:PUNTA SANTIAGO
Mailing Address - City:PUNTA SANTIAGO
Mailing Address - State:PR
Mailing Address - Zip Code:00741-0931
Mailing Address - Country:US
Mailing Address - Phone:787-852-8545
Mailing Address - Fax:787-852-8545
Practice Address - Street 1:1 CALLE ADUANA
Practice Address - Street 2:
Practice Address - City:PUNTA SANTIAGO
Practice Address - State:PR
Practice Address - Zip Code:00741-2401
Practice Address - Country:US
Practice Address - Phone:787-852-8545
Practice Address - Fax:787-852-8545
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-25
Last Update Date:2013-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory