Provider Demographics
NPI:1477633220
Name:LABORATORIO CLINICO LAS COLINAS INC.
Entity Type:Organization
Organization Name:LABORATORIO CLINICO LAS COLINAS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:NILSA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARRERO
Authorized Official - Suffix:
Authorized Official - Credentials:MEDICAL TECHNOLOGIST
Authorized Official - Phone:787-287-0645
Mailing Address - Street 1:35 CALLE JUAN C BORBON
Mailing Address - Street 2:SUITE 69
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969-5374
Mailing Address - Country:US
Mailing Address - Phone:787-287-0645
Mailing Address - Fax:787-287-0979
Practice Address - Street 1:CENTRO COMERCIAL JARDINES REALES
Practice Address - Street 2:AVE. LAS CUMBRES ESQUINA CALLE JUAN C. BORBON
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00969-5374
Practice Address - Country:US
Practice Address - Phone:787-287-0645
Practice Address - Fax:787-287-0979
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-16
Last Update Date:2020-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1005291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory