Provider Demographics
NPI:1851617336
Name:LABORATORIO CLINICO ITURREGUI, INC
Entity Type:Organization
Organization Name:LABORATORIO CLINICO ITURREGUI, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:IVONNE
Authorized Official - Middle Name:
Authorized Official - Last Name:BERLINGERI
Authorized Official - Suffix:
Authorized Official - Credentials:MT
Authorized Official - Phone:787-306-8911
Mailing Address - Street 1:771 LOPEZ SICARDO
Mailing Address - Street 2:DOS PINOS
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00923
Mailing Address - Country:US
Mailing Address - Phone:787-306-8911
Mailing Address - Fax:787-767-7668
Practice Address - Street 1:ITURREGUI AVENUE
Practice Address - Street 2:MM 9
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00982
Practice Address - Country:US
Practice Address - Phone:787-306-8911
Practice Address - Fax:787-767-7668
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-09
Last Update Date:2010-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory