Provider Demographics
NPI:1942486659
Name:LABORATORIO CLINICO CATALA VICENTE
Entity Type:Organization
Organization Name:LABORATORIO CLINICO CATALA VICENTE
Other - Org Name:LABORATORIO CLINICO CATALA & VICENTE
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SARA
Authorized Official - Middle Name:E
Authorized Official - Last Name:VICENTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-856-7788
Mailing Address - Street 1:227 PROLOGACION 25 DE JULIO
Mailing Address - Street 2:
Mailing Address - City:YAUCO
Mailing Address - State:PR
Mailing Address - Zip Code:00698
Mailing Address - Country:US
Mailing Address - Phone:787-315-5197
Mailing Address - Fax:787-267-1202
Practice Address - Street 1:CARR#127 KM 0.3 BO. SUSUA BAJA SECTOR 4 CALLES SOLAR 1
Practice Address - Street 2:
Practice Address - City:YAUCO
Practice Address - State:PR
Practice Address - Zip Code:00698
Practice Address - Country:US
Practice Address - Phone:787-315-5197
Practice Address - Fax:787-856-7788
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-11
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory