Provider Demographics
NPI:1689628588
Name:DAUILMAR FRANCO GINORO
Entity Type:Organization
Organization Name:DAUILMAR FRANCO GINORO
Other - Org Name:LABORATORIO CLININCO RODRIGUEZ
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:DAWILMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANCO GINORIO
Authorized Official - Suffix:
Authorized Official - Credentials:MT
Authorized Official - Phone:787-898-4020
Mailing Address - Street 1:71 CALLE PH HERNANDEZ
Mailing Address - Street 2:
Mailing Address - City:HATILLO
Mailing Address - State:PR
Mailing Address - Zip Code:00659-2007
Mailing Address - Country:US
Mailing Address - Phone:787-898-4020
Mailing Address - Fax:787-820-5927
Practice Address - Street 1:71 CALLE PH HERNANDEZ
Practice Address - Street 2:
Practice Address - City:HATILLO
Practice Address - State:PR
Practice Address - Zip Code:00659-2007
Practice Address - Country:US
Practice Address - Phone:787-898-4020
Practice Address - Fax:787-820-5927
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-22
Last Update Date:2008-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR769291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR584656974OtherCOSVIMED
PR584656974OtherMAPFRE LIFE INSURANCE CO.
PR584656974OtherMEDICAL CARD SYSTEM
PR20051OtherPREFERRED MEDICARE CHOICE
PR30689OtherTRIPLE-S, INC.
PR584656974OtherINTERNATIONAL MEDICAL CAR
PR584656974OtherPALIC PROVIDER NETWORK
PR6590031OtherHUMANA INSURANCE OF PR
PR051364OtherLA CRUZ AZUL DE PR
PR400556OtherPREFERRED HEALTH INS. CO.
PR584656974OtherCIGNA PREFERRED PLAN
PR584656974OtherTRICARE
PR800361OtherMMM HEALTHCARE
PR051364OtherLA CRUZ AZUL DE PR