Provider Demographics
NPI:1932333614
Name:SAN LUIS, INC.
Entity Type:Organization
Organization Name:SAN LUIS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CRISTINA
Authorized Official - Middle Name:BEATRIZ
Authorized Official - Last Name:FIGUEROA
Authorized Official - Suffix:
Authorized Official - Credentials:MT
Authorized Official - Phone:939-639-3006
Mailing Address - Street 1:HC 3 BOX 9641
Mailing Address - Street 2:
Mailing Address - City:LARES
Mailing Address - State:PR
Mailing Address - Zip Code:00669-9513
Mailing Address - Country:US
Mailing Address - Phone:787-639-3006
Mailing Address - Fax:787-897-1038
Practice Address - Street 1:HC 3 BOX 9641
Practice Address - Street 2:
Practice Address - City:LARES
Practice Address - State:PR
Practice Address - Zip Code:00669-9513
Practice Address - Country:US
Practice Address - Phone:787-639-3006
Practice Address - Fax:787-897-1038
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-08
Last Update Date:2009-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory