Provider Demographics
NPI:1144069824
Name:CARIBE LAB LLC
Entity type:Organization
Organization Name:CARIBE LAB LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRADOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRISEIDA
Authorized Official - Middle Name:
Authorized Official - Last Name:MIRANDA
Authorized Official - Suffix:
Authorized Official - Credentials:MT
Authorized Official - Phone:787-798-3176
Mailing Address - Street 1:114 CALLE PELICANO
Mailing Address - Street 2:
Mailing Address - City:TOA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00949-3490
Mailing Address - Country:US
Mailing Address - Phone:787-798-3176
Mailing Address - Fax:
Practice Address - Street 1:MEDICAL OPHTHALMIC PLAZA
Practice Address - Street 2:SUITE 103
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959
Practice Address - Country:US
Practice Address - Phone:787-798-3176
Practice Address - Fax:787-288-0774
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-22
Last Update Date:2024-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory