Provider Demographics
NPI:1659479491
Name:ZAIDA RIVERA SILVA
Entity Type:Organization
Organization Name:ZAIDA RIVERA SILVA
Other - Org Name:LABORATORIO CLINICO LOS ROBLES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ZAIDA
Authorized Official - Middle Name:
Authorized Official - Last Name:RIVERA SILVA
Authorized Official - Suffix:
Authorized Official - Credentials:MT
Authorized Official - Phone:787-826-6696
Mailing Address - Street 1:BOX 6143
Mailing Address - Street 2:
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00681
Mailing Address - Country:US
Mailing Address - Phone:787-826-6696
Mailing Address - Fax:787-826-6696
Practice Address - Street 1:CARR 401 KM 06
Practice Address - Street 2:BO HATILLO
Practice Address - City:ANASCO
Practice Address - State:PR
Practice Address - Zip Code:00610
Practice Address - Country:US
Practice Address - Phone:787-826-6696
Practice Address - Fax:787-826-6696
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2022-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory