Provider Demographics
NPI:1932248747
Name:LABORATORIO CLINICO DEFILLO DE FRANCESCHINI
Entity Type:Organization
Organization Name:LABORATORIO CLINICO DEFILLO DE FRANCESCHINI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MILAGROS
Authorized Official - Middle Name:
Authorized Official - Last Name:DEFILLO
Authorized Official - Suffix:
Authorized Official - Credentials:MT
Authorized Official - Phone:787-835-2705
Mailing Address - Street 1:P O BOX 560 362
Mailing Address - Street 2:
Mailing Address - City:GUAYANILLA
Mailing Address - State:PR
Mailing Address - Zip Code:00656
Mailing Address - Country:US
Mailing Address - Phone:787-835-2705
Mailing Address - Fax:787-835-2705
Practice Address - Street 1:147 CALLE LUIS MUNOZ RIVERA
Practice Address - Street 2:
Practice Address - City:GUAYANILLA
Practice Address - State:PR
Practice Address - Zip Code:00656-1814
Practice Address - Country:US
Practice Address - Phone:787-835-2705
Practice Address - Fax:787-835-2705
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR217291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR38184Medicare ID - Type UnspecifiedPROVIDOR NUMBER