Provider Demographics
NPI:1518408582
Name:PR HEALTH CARE MANAGEMENT GROUP - LABORATORIO CLINICO CATANO LLC
Entity Type:Organization
Organization Name:PR HEALTH CARE MANAGEMENT GROUP - LABORATORIO CLINICO CATANO LLC
Other - Org Name:PR HEALTH CARE MANAGEMENT GROUP - LABORATORIO CLINICO CATANO LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRINCIPAL
Authorized Official - Prefix:
Authorized Official - First Name:HARRY
Authorized Official - Middle Name:E
Authorized Official - Last Name:NEGRON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-646-7674
Mailing Address - Street 1:PO BOX 2598
Mailing Address - Street 2:
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00970
Mailing Address - Country:US
Mailing Address - Phone:787-646-7674
Mailing Address - Fax:
Practice Address - Street 1:CARR 869 BARRIO PALMA
Practice Address - Street 2:
Practice Address - City:CATANO
Practice Address - State:PR
Practice Address - Zip Code:00963-0498
Practice Address - Country:US
Practice Address - Phone:787-646-7674
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-10
Last Update Date:2017-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR261QR0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology