Provider Demographics
NPI:1790119642
Name:MARINA & SONS INC.
Entity Type:Organization
Organization Name:MARINA & SONS INC.
Other - Org Name:LABORATORIO CLINICO SAN FRANCISCO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MANUEL
Authorized Official - Middle Name:ALBERTO
Authorized Official - Last Name:GUEVARA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-599-0526
Mailing Address - Street 1:120 AVE LAS SIERRAS
Mailing Address - Street 2:65
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-0000
Mailing Address - Country:US
Mailing Address - Phone:787-599-0526
Mailing Address - Fax:787-715-0170
Practice Address - Street 1:126 AVE DE DIEGO
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00921-3036
Practice Address - Country:US
Practice Address - Phone:787-599-0526
Practice Address - Fax:787-715-0170
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-28
Last Update Date:2013-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory