Provider Demographics
NPI:1750418570
Name:BARRETO ROMERO LAB. CORP.
Entity type:Organization
Organization Name:BARRETO ROMERO LAB. CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:ROMERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-898-2600
Mailing Address - Street 1:PO BOX 1985
Mailing Address - Street 2:
Mailing Address - City:HATILLO
Mailing Address - State:PR
Mailing Address - Zip Code:00659-8985
Mailing Address - Country:US
Mailing Address - Phone:787-898-2600
Mailing Address - Fax:787-898-2600
Practice Address - Street 1:FRANKLIN D. ROOSEVELT
Practice Address - Street 2:NUMBER 122
Practice Address - City:HATILLO
Practice Address - State:PR
Practice Address - Zip Code:00659
Practice Address - Country:US
Practice Address - Phone:787-898-2600
Practice Address - Fax:787-898-2600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR624291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR20011OtherPMC MEDICARE CHOICE
PR890423OtherMMM
PR052229OtherLA CRUZ AZUL
PR400585OtherPREFERRED HEALTH
PR31231OtherTRIPLE-S
PR6590061OtherHUMANA HEALTH
PR400585OtherPREFERRED HEALTH
PR890423OtherMMM
PR=========OtherCIGNA
PR=========OtherCOSVI
PR=========OtherCOSVI