Provider Demographics
NPI:1639301427
Name:LABORATORIO CLINICO METROPOLIS
Entity Type:Organization
Organization Name:LABORATORIO CLINICO METROPOLIS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:CONCEPCION
Authorized Official - Middle Name:
Authorized Official - Last Name:ROMERO
Authorized Official - Suffix:
Authorized Official - Credentials:MT (ASCP)
Authorized Official - Phone:787-564-1495
Mailing Address - Street 1:URB. PRIMAVERA
Mailing Address - Street 2:CALLE PASEO DE ORQUIDEAS #68
Mailing Address - City:TRUJILLO ALTO
Mailing Address - State:PR
Mailing Address - Zip Code:00976
Mailing Address - Country:US
Mailing Address - Phone:787-564-1495
Mailing Address - Fax:
Practice Address - Street 1:CARRETERA 860 KM 0.8
Practice Address - Street 2:BARRIO MARTIN GONZALEZ
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00957
Practice Address - Country:US
Practice Address - Phone:787-671-2699
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-13
Last Update Date:2020-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory