Provider Demographics
NPI:1588185466
Name:ABBOTT LABORATORIES PR INC.
Entity Type:Organization
Organization Name:ABBOTT LABORATORIES PR INC.
Other - Org Name:ABBOTT LABORATORIES
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CREDIT MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIBELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:VELEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-622-5454
Mailing Address - Street 1:PO BOX 71469
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00936-8569
Mailing Address - Country:US
Mailing Address - Phone:787-622-5454
Mailing Address - Fax:787-622-9690
Practice Address - Street 1:9615 AVE LOS ROMEROS STE 700
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-7038
Practice Address - Country:US
Practice Address - Phone:787-622-5454
Practice Address - Fax:787-622-5454
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ABBOTT LABORATORIES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-06-30
Last Update Date:2017-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
0R987OtherCAGE CODE
090099672OtherDUNS