Provider Demographics
NPI:1497749196
Name:HATO REY PATHOLOGY ASSOCIATES
Entity Type:Organization
Organization Name:HATO REY PATHOLOGY ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR MEDICO
Authorized Official - Prefix:DR
Authorized Official - First Name:RAFAEL
Authorized Official - Middle Name:R
Authorized Official - Last Name:RAMIREZ WEISER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-765-7320
Mailing Address - Street 1:PO BOX 366527
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00936-6527
Mailing Address - Country:US
Mailing Address - Phone:787-765-7320
Mailing Address - Fax:787-753-7656
Practice Address - Street 1:570 CALLE JUAN J JIMENEZ
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918-3722
Practice Address - Country:US
Practice Address - Phone:787-765-7320
Practice Address - Fax:787-753-7656
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR533291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0082246Medicare ID - Type Unspecified