Provider Demographics
NPI:1568112373
Name:LABORATORIO AMADOR LLC
Entity Type:Organization
Organization Name:LABORATORIO AMADOR LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:CAROLINA
Authorized Official - Middle Name:AMADOR
Authorized Official - Last Name:VAZQUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MLS, BA
Authorized Official - Phone:787-949-9088
Mailing Address - Street 1:PO BOX 1556
Mailing Address - Street 2:
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00613-1556
Mailing Address - Country:US
Mailing Address - Phone:787-949-9088
Mailing Address - Fax:
Practice Address - Street 1:CARR 149 KM 18.7
Practice Address - Street 2:BO. PESAS
Practice Address - City:CIALES
Practice Address - State:PR
Practice Address - Zip Code:00638
Practice Address - Country:US
Practice Address - Phone:787-949-9088
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-25
Last Update Date:2023-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory