Provider Demographics
NPI:1689666901
Name:LABORATORIO CLINICO ALMI, INC.
Entity Type:Organization
Organization Name:LABORATORIO CLINICO ALMI, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALMA
Authorized Official - Middle Name:R
Authorized Official - Last Name:CANUELAS
Authorized Official - Suffix:
Authorized Official - Credentials:MT
Authorized Official - Phone:787-793-4242
Mailing Address - Street 1:1332 AVE SAN ALFONSO
Mailing Address - Street 2:URB. ALTAMESA
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00921-3619
Mailing Address - Country:US
Mailing Address - Phone:787-793-4242
Mailing Address - Fax:787-783-4545
Practice Address - Street 1:1332 AVE SAN ALFONSO
Practice Address - Street 2:URB. ALTAMESA
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00921-3619
Practice Address - Country:US
Practice Address - Phone:787-793-4242
Practice Address - Fax:787-783-4545
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-23
Last Update Date:2011-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR663291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0038247Medicare ID - Type Unspecified