Provider Demographics
NPI:1245322288
Name:LABORATORIO CLINICO EL CENTRO
Entity type:Organization
Organization Name:LABORATORIO CLINICO EL CENTRO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:NERY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-764-6540
Mailing Address - Street 1:500 AVE MUNOZ RIVERA
Mailing Address - Street 2:COND. EL CENTRO II SUITE 25
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00918-3302
Mailing Address - Country:US
Mailing Address - Phone:787-764-6540
Mailing Address - Fax:787-759-1900
Practice Address - Street 1:500 AVE MUNOZ RIVERA
Practice Address - Street 2:COND. EL CENTRO II SUITE 25
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918-3302
Practice Address - Country:US
Practice Address - Phone:787-764-6540
Practice Address - Fax:787-759-1900
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CENTRO CITOCATOLOGECO DEL CARIBE INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-09-28
Last Update Date:2012-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR245291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory