Provider Demographics
NPI:1013029669
Name:CARMELO NEIRA LUGO
Entity Type:Organization
Organization Name:CARMELO NEIRA LUGO
Other - Org Name:LABORATORIO CLINICO CALEB
Other - Org Type:Other Name
Authorized Official - Title/Position:MT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ABIGAIL
Authorized Official - Middle Name:
Authorized Official - Last Name:NEIRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-726-3781
Mailing Address - Street 1:2100 AVE E
Mailing Address - Street 2:PO BOX 14511
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00915-3641
Mailing Address - Country:US
Mailing Address - Phone:787-726-3781
Mailing Address - Fax:787-726-3781
Practice Address - Street 1:2100 AVE BORINQUEN
Practice Address - Street 2:BO OBRERO STATION
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00915-3827
Practice Address - Country:US
Practice Address - Phone:787-726-3781
Practice Address - Fax:787-726-3781
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2010-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR358291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory