Provider Demographics
NPI:1902948870
Name:RR LABORATORY SERVICES, INC.
Entity Type:Organization
Organization Name:RR LABORATORY SERVICES, INC.
Other - Org Name:LABORATORIO CLINICO BAYANEY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RIGOBERTO
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBLES
Authorized Official - Suffix:
Authorized Official - Credentials:MT
Authorized Official - Phone:787-820-3588
Mailing Address - Street 1:PO BOX 1877
Mailing Address - Street 2:
Mailing Address - City:LARES
Mailing Address - State:PR
Mailing Address - Zip Code:00669-1877
Mailing Address - Country:US
Mailing Address - Phone:787-820-3588
Mailing Address - Fax:787-262-3588
Practice Address - Street 1:AVENIDA SAN CARLOS #10
Practice Address - Street 2:
Practice Address - City:AGUADILLA
Practice Address - State:PR
Practice Address - Zip Code:00603
Practice Address - Country:US
Practice Address - Phone:787-891-3737
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RR LABORATORY SERVICES INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-02-13
Last Update Date:2024-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR875291U00000X
291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR038038900Medicaid