Provider Demographics
NPI:1932367398
Name:LABORATORIO CLINICO CEMI INC.
Entity Type:Organization
Organization Name:LABORATORIO CLINICO CEMI INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:MRS
Authorized Official - First Name:CARMEN
Authorized Official - Middle Name:A
Authorized Official - Last Name:VERA
Authorized Official - Suffix:
Authorized Official - Credentials:MT
Authorized Official - Phone:787-829-6375
Mailing Address - Street 1:43 CALLE LIBERTAD
Mailing Address - Street 2:
Mailing Address - City:JAYUYA
Mailing Address - State:PR
Mailing Address - Zip Code:00664-1432
Mailing Address - Country:US
Mailing Address - Phone:787-828-4646
Mailing Address - Fax:787-828-4646
Practice Address - Street 1:43 CALLE LIBERTAD
Practice Address - Street 2:
Practice Address - City:JAYUYA
Practice Address - State:PR
Practice Address - Zip Code:00664-1432
Practice Address - Country:US
Practice Address - Phone:787-828-4646
Practice Address - Fax:787-828-4646
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-01
Last Update Date:2008-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1154291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR1154OtherP.R. HEALTH DPT.