Provider Demographics
NPI:1205928256
Name:ROYAL INC
Entity type:Organization
Organization Name:ROYAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PEDRO
Authorized Official - Middle Name:JOSE
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:BBA
Authorized Official - Phone:787-799-7050
Mailing Address - Street 1:72 RAINIERO STREET
Mailing Address - Street 2:ESTANCIAS REALES
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969-5329
Mailing Address - Country:US
Mailing Address - Phone:787-799-7050
Mailing Address - Fax:787-799-0606
Practice Address - Street 1:AVE LAS CUMBRES ESQ CARRETERA 840
Practice Address - Street 2:ROYAL TOWN
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00956
Practice Address - Country:US
Practice Address - Phone:787-799-7050
Practice Address - Fax:787-799-0606
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR863291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR31083Medicare ID - Type Unspecified