Provider Demographics
NPI:1497143721
Name:LABORATORIO CLINICO LEBRON, INC.
Entity Type:Organization
Organization Name:LABORATORIO CLINICO LEBRON, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:VINCENZO
Authorized Official - Middle Name:
Authorized Official - Last Name:FERRANTE RUIZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-412-7111
Mailing Address - Street 1:PO BOX 9975
Mailing Address - Street 2:
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00613-9975
Mailing Address - Country:US
Mailing Address - Phone:787-896-2195
Mailing Address - Fax:787-896-2195
Practice Address - Street 1:AVE EMERITO ESTRADA
Practice Address - Street 2:EDIF SAN SEBASTIAN MEDICAL K 21 9
Practice Address - City:SAN SEBASTIAN
Practice Address - State:PR
Practice Address - Zip Code:00685-2360
Practice Address - Country:US
Practice Address - Phone:787-896-7777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-09
Last Update Date:2023-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory