Provider Demographics
NPI:1205975919
Name:LABORATORIO CLINICO FREYTES
Entity type:Organization
Organization Name:LABORATORIO CLINICO FREYTES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SORYLIZ
Authorized Official - Middle Name:
Authorized Official - Last Name:FREYTES
Authorized Official - Suffix:
Authorized Official - Credentials:MT
Authorized Official - Phone:787-886-2984
Mailing Address - Street 1:501-219 #16 VILLA CAROLINA
Mailing Address - Street 2:
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00985
Mailing Address - Country:US
Mailing Address - Phone:787-886-2984
Mailing Address - Fax:787-886-2984
Practice Address - Street 1:CALLE 1 LOTE B URBANIZACION VILLAS DE LOIZA
Practice Address - Street 2:
Practice Address - City:LOIZA
Practice Address - State:PR
Practice Address - Zip Code:00729
Practice Address - Country:US
Practice Address - Phone:787-886-2984
Practice Address - Fax:787-886-2984
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1115291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory