Provider Demographics
NPI:1649472168
Name:CARIBBEAN MEDICAL TESTING CENTER
Entity type:Organization
Organization Name:CARIBBEAN MEDICAL TESTING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENTE
Authorized Official - Prefix:MR
Authorized Official - First Name:RUFINO
Authorized Official - Middle Name:
Authorized Official - Last Name:VALE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-754-6868
Mailing Address - Street 1:P O BOX 192071
Mailing Address - Street 2:
Mailing Address - City:RIO PIEDRAS
Mailing Address - State:PR
Mailing Address - Zip Code:00927
Mailing Address - Country:US
Mailing Address - Phone:787-754-6868
Mailing Address - Fax:
Practice Address - Street 1:CALLE MANUEL F ROSSY ESQ ISABEL 2
Practice Address - Street 2:
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00919
Practice Address - Country:US
Practice Address - Phone:787-778-1188
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1027291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory