Provider Demographics
NPI:1134394794
Name:LABORATORIO CLINICO CENTRAL NARANJITO, PSC.
Entity type:Organization
Organization Name:LABORATORIO CLINICO CENTRAL NARANJITO, PSC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:NIXZALIZ
Authorized Official - Middle Name:MARRERO
Authorized Official - Last Name:FIGUEROA
Authorized Official - Suffix:
Authorized Official - Credentials:MT
Authorized Official - Phone:787-869-9988
Mailing Address - Street 1:615 CARR 152
Mailing Address - Street 2:STE 4
Mailing Address - City:NARANJITO
Mailing Address - State:PR
Mailing Address - Zip Code:00719-3807
Mailing Address - Country:US
Mailing Address - Phone:787-869-9988
Mailing Address - Fax:787-869-7181
Practice Address - Street 1:PR 152 BARRIO KM 14.6 BO CEDRO ABAJO
Practice Address - Street 2:EL MERCADO PLAZA SHOPPING CENTER
Practice Address - City:NARANJITO
Practice Address - State:PR
Practice Address - Zip Code:00719-3807
Practice Address - Country:US
Practice Address - Phone:787-869-9988
Practice Address - Fax:787-869-7181
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-24
Last Update Date:2008-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory