Provider Demographics
NPI:1588653778
Name:SERVICIOS ANATOMICO PATOLOGICOS ORIENTAL, INC.
Entity Type:Organization
Organization Name:SERVICIOS ANATOMICO PATOLOGICOS ORIENTAL, INC.
Other - Org Name:LABORATORIO CLINICO PATOLOGICO SEVILLA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DELIA
Authorized Official - Middle Name:
Authorized Official - Last Name:TORRES HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-850-5190
Mailing Address - Street 1:PO BOX 9350
Mailing Address - Street 2:
Mailing Address - City:HUMACAO
Mailing Address - State:PR
Mailing Address - Zip Code:00792-9350
Mailing Address - Country:US
Mailing Address - Phone:787-850-5190
Mailing Address - Fax:787-852-1490
Practice Address - Street 1:100 CALLE MUNOZ MARIN
Practice Address - Street 2:
Practice Address - City:HUMACAO
Practice Address - State:PR
Practice Address - Zip Code:00791-3455
Practice Address - Country:US
Practice Address - Phone:787-850-5190
Practice Address - Fax:787-852-1490
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SAPO INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-10-19
Last Update Date:2016-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR788291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0038283Medicare ID - Type Unspecified