Provider Demographics
NPI:1558534099
Name:LABORATORIO CLINICO ANIBEL
Entity Type:Organization
Organization Name:LABORATORIO CLINICO ANIBEL
Other - Org Name:MARIBEL TORRES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARIBEL
Authorized Official - Middle Name:
Authorized Official - Last Name:TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-767-4694
Mailing Address - Street 1:8 CALLE YAGUEZ
Mailing Address - Street 2:ESTANCIAS DEL RIO
Mailing Address - City:AGUAS BUENAS
Mailing Address - State:PR
Mailing Address - Zip Code:00703-9620
Mailing Address - Country:US
Mailing Address - Phone:787-767-4694
Mailing Address - Fax:787-763-4347
Practice Address - Street 1:724 AVE PONCE DE LEON
Practice Address - Street 2:HATO REY
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918-4512
Practice Address - Country:US
Practice Address - Phone:787-767-4694
Practice Address - Fax:787-763-4347
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-04
Last Update Date:2008-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR0268291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0031281Medicare PIN