Provider Demographics
NPI:1912447426
Name:HEALTHCARE AMBULATORY SERVICES, INC.
Entity Type:Organization
Organization Name:HEALTHCARE AMBULATORY SERVICES, INC.
Other - Org Name:LABORATORIO CLINICO HAS CAYEY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ANA
Authorized Official - Middle Name:D
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-286-6060
Mailing Address - Street 1:PO BOX 193477
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00919-3477
Mailing Address - Country:US
Mailing Address - Phone:787-286-6060
Mailing Address - Fax:787-705-3800
Practice Address - Street 1:CARR 1 KM 59.6 BO MONTELLANO
Practice Address - Street 2:CAYEY SHOPPING CENTER 7-8
Practice Address - City:CAYEY
Practice Address - State:PR
Practice Address - Zip Code:00736
Practice Address - Country:US
Practice Address - Phone:787-286-6060
Practice Address - Fax:787-705-3800
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-02
Last Update Date:2017-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1352291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory