Provider Demographics
NPI:1255888012
Name:EMPRESAS MORENO REYES INC.
Entity type:Organization
Organization Name:EMPRESAS MORENO REYES INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANA
Authorized Official - Middle Name:ROSA
Authorized Official - Last Name:NIEVES
Authorized Official - Suffix:
Authorized Official - Credentials:LCDA
Authorized Official - Phone:787-875-3932
Mailing Address - Street 1:CARR 816 KM 0.5
Mailing Address - Street 2:BO NUEVO
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00956
Mailing Address - Country:US
Mailing Address - Phone:787-317-5438
Mailing Address - Fax:787-875-3932
Practice Address - Street 1:CARR 167 KM 35.4 INT 156
Practice Address - Street 2:
Practice Address - City:COMERIO
Practice Address - State:PR
Practice Address - Zip Code:00782
Practice Address - Country:US
Practice Address - Phone:787-875-3932
Practice Address - Fax:787-875-3932
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-08
Last Update Date:2016-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory