Provider Demographics
NPI:1487688743
Name:LABORATORIO CLINICO BIO TECH INC
Entity Type:Organization
Organization Name:LABORATORIO CLINICO BIO TECH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:HARRY
Authorized Official - Middle Name:JOSE
Authorized Official - Last Name:ABRANTE
Authorized Official - Suffix:
Authorized Official - Credentials:ENGINEER
Authorized Official - Phone:787-421-7315
Mailing Address - Street 1:PO BOX 849
Mailing Address - Street 2:
Mailing Address - City:CANOVANAS
Mailing Address - State:PR
Mailing Address - Zip Code:00729-0849
Mailing Address - Country:US
Mailing Address - Phone:787-421-7315
Mailing Address - Fax:787-769-5323
Practice Address - Street 1:401 CALLE BLQ 143 1 4TA
Practice Address - Street 2:VILLA CAROLINA
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00985-0849
Practice Address - Country:US
Practice Address - Phone:787-421-7315
Practice Address - Fax:787-769-5323
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-10
Last Update Date:2016-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1102291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0031503Medicare PIN