Provider Demographics
NPI:1972734747
Name:LABORATORIO DE SUENO Y NEUROLOGIA DE PR
Entity Type:Organization
Organization Name:LABORATORIO DE SUENO Y NEUROLOGIA DE PR
Other - Org Name:SLEEPNET
Other - Org Type:Other Name
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:HECTOR
Authorized Official - Middle Name:F
Authorized Official - Last Name:BRUNO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-692-8259
Mailing Address - Street 1:100 GRAN BULEVAR PASEOS
Mailing Address - Street 2:SUITE 112 PMB 182
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-5955
Mailing Address - Country:US
Mailing Address - Phone:787-473-8900
Mailing Address - Fax:787-251-8484
Practice Address - Street 1:B1 CALLE SANTA CRUZ STE 201
Practice Address - Street 2:CARIMED PLAZA
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00961-6943
Practice Address - Country:US
Practice Address - Phone:787-473-8900
Practice Address - Fax:787-946-1634
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-28
Last Update Date:2012-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic