Provider Demographics
NPI:1922092246
Name:LABORATORIO CLINICO KARBAN
Entity Type:Organization
Organization Name:LABORATORIO CLINICO KARBAN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LAB. DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CARMEN
Authorized Official - Middle Name:L
Authorized Official - Last Name:QUINONES DE KARBAN
Authorized Official - Suffix:
Authorized Official - Credentials:BSMT
Authorized Official - Phone:787-891-3737
Mailing Address - Street 1:3 AVE JOSE DE JESUS ESTEVES
Mailing Address - Street 2:
Mailing Address - City:AGUADILLA
Mailing Address - State:PR
Mailing Address - Zip Code:00603-6621
Mailing Address - Country:US
Mailing Address - Phone:787-891-3737
Mailing Address - Fax:787-891-3737
Practice Address - Street 1:3 AVE JOSE DE JESUS ESTEVES
Practice Address - Street 2:
Practice Address - City:AGUADILLA
Practice Address - State:PR
Practice Address - Zip Code:00603-6621
Practice Address - Country:US
Practice Address - Phone:787-891-3737
Practice Address - Fax:787-891-3737
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR402291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
402OtherUIA
06733OtherASSOC. MAESTROS
20043OtherAMERICAN HEALTH
6030026OtherHUMANA
PR6399OtherFIRST PLUS
30226OtherTRIPLE S INC
20098OtherPMC
400564OtherPREFERRED HEALTH
050546OtherCRUZ AZUL
=========OtherMAPFRE
PR=========Medicaid
06733OtherASSOC. MAESTROS
30226OtherTRIPLE S INC
6030026OtherHUMANA
=========OtherAETNA