Provider Demographics
NPI:1205932688
Name:POST CENTER CLINICAL LABORATORY, INC.
Entity type:Organization
Organization Name:POST CENTER CLINICAL LABORATORY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MAYRA
Authorized Official - Middle Name:I
Authorized Official - Last Name:BAEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-831-2929
Mailing Address - Street 1:60 CALLE DR RAMON E BETANCES N STE 105
Mailing Address - Street 2:
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00680-6693
Mailing Address - Country:US
Mailing Address - Phone:787-831-2929
Mailing Address - Fax:787-834-4045
Practice Address - Street 1:POST 60N OFIC. 105 EDIF. POST CENTER
Practice Address - Street 2:
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680
Practice Address - Country:US
Practice Address - Phone:787-831-2929
Practice Address - Fax:787-834-4045
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-15
Last Update Date:2024-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0031040Medicare ID - Type Unspecified