Provider Demographics
NPI:1609397900
Name:LABORATORIO SAN RAFAEL QUEBRADILLAS, INC.
Entity Type:Organization
Organization Name:LABORATORIO SAN RAFAEL QUEBRADILLAS, INC.
Other - Org Name:LABORATORIO CLINICO MONROIG
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YOLANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:ARIAS
Authorized Official - Suffix:
Authorized Official - Credentials:MT
Authorized Official - Phone:787-895-3076
Mailing Address - Street 1:113 CALLE FRANCISCO AVILA
Mailing Address - Street 2:
Mailing Address - City:QUEBRADILLAS
Mailing Address - State:PR
Mailing Address - Zip Code:00678-0000
Mailing Address - Country:US
Mailing Address - Phone:787-895-2333
Mailing Address - Fax:787-895-2333
Practice Address - Street 1:113 FRANCISCO AVILA
Practice Address - Street 2:
Practice Address - City:QUEBRADILLAS
Practice Address - State:PR
Practice Address - Zip Code:00678
Practice Address - Country:US
Practice Address - Phone:787-895-3076
Practice Address - Fax:787-895-3076
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LABORATORIO SAN RAFAEL QUEBRADILLAS, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-06-28
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory