Provider Demographics
NPI:1942455787
Name:LABORATORIO CLINICO JAIMAR
Entity Type:Organization
Organization Name:LABORATORIO CLINICO JAIMAR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOANN
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAPARRO
Authorized Official - Suffix:
Authorized Official - Credentials:MT
Authorized Official - Phone:787-826-4490
Mailing Address - Street 1:P.O. BOX 317
Mailing Address - Street 2:LABORATORIO CLINICO JAIMAR
Mailing Address - City:ANASCO
Mailing Address - State:PR
Mailing Address - Zip Code:00610-0317
Mailing Address - Country:US
Mailing Address - Phone:787-826-4490
Mailing Address - Fax:
Practice Address - Street 1:CARR. 402 KM 2.0
Practice Address - Street 2:BO. MARIAS
Practice Address - City:ANASCO
Practice Address - State:PR
Practice Address - Zip Code:00610
Practice Address - Country:US
Practice Address - Phone:787-826-4490
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-20
Last Update Date:2008-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR999291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory