Provider Demographics
NPI:1770858797
Name:LABORATORIO CLINICO BORGES
Entity Type:Organization
Organization Name:LABORATORIO CLINICO BORGES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MAIRINE
Authorized Official - Middle Name:
Authorized Official - Last Name:BIGIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-751-6373
Mailing Address - Street 1:168 CALLE ARZUAGA
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00925-3424
Mailing Address - Country:US
Mailing Address - Phone:787-751-6373
Mailing Address - Fax:
Practice Address - Street 1:168 CALLE ARZUAGA
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00925-3424
Practice Address - Country:US
Practice Address - Phone:787-751-6373
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-09
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR66076360291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory