Provider Demographics
NPI:1831132844
Name:ARECIBO PATHOLOGY SERVICES CSP
Entity Type:Organization
Organization Name:ARECIBO PATHOLOGY SERVICES CSP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PATHOLOGIST/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:FIDEL
Authorized Official - Middle Name:
Authorized Official - Last Name:DE FRIAS JIMENEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-882-6950
Mailing Address - Street 1:PO BOX 5183
Mailing Address - Street 2:
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00605-5183
Mailing Address - Country:US
Mailing Address - Phone:787-882-6950
Mailing Address - Fax:787-891-2365
Practice Address - Street 1:CALLE JOSE C. VAZQUEZ ESQUINA TROYER
Practice Address - Street 2:BO CAONILLAS
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00705-3309
Practice Address - Country:US
Practice Address - Phone:787-735-7004
Practice Address - Fax:787-735-7005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-14
Last Update Date:2023-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty