Provider Demographics
NPI:1821157181
Name:TORREMAR DEL MAR, INC
Entity Type:Organization
Organization Name:TORREMAR DEL MAR, INC
Other - Org Name:LABORATORIO CLINICO TORREMAR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL TECHNOLOGY
Authorized Official - Prefix:MRS
Authorized Official - First Name:JASMINE
Authorized Official - Middle Name:L
Authorized Official - Last Name:TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:MT BS
Authorized Official - Phone:787-862-3900
Mailing Address - Street 1:PO BOX 570
Mailing Address - Street 2:
Mailing Address - City:MOROVIS
Mailing Address - State:PR
Mailing Address - Zip Code:00687-0570
Mailing Address - Country:US
Mailing Address - Phone:787-862-3900
Mailing Address - Fax:787-862-5700
Practice Address - Street 1:ROAD 633 KM-4.9
Practice Address - Street 2:BARAHONA
Practice Address - City:MOROVIS
Practice Address - State:PR
Practice Address - Zip Code:00687-0000
Practice Address - Country:US
Practice Address - Phone:787-862-3900
Practice Address - Fax:787-862-5700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-06
Last Update Date:2011-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1116291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory