Provider Demographics
NPI:1538393509
Name:LAB Y BANCO DE SANGRE UMPIERRE
Entity type:Organization
Organization Name:LAB Y BANCO DE SANGRE UMPIERRE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL TECHNICIAN
Authorized Official - Prefix:MR
Authorized Official - First Name:ARTURO
Authorized Official - Middle Name:
Authorized Official - Last Name:UMPIERRE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-706-2823
Mailing Address - Street 1:PO BOX 364367
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00936-4367
Mailing Address - Country:US
Mailing Address - Phone:787-706-2823
Mailing Address - Fax:
Practice Address - Street 1:1801 ANEJO AVENIDA PONCE DE LEON
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00909-1900
Practice Address - Country:US
Practice Address - Phone:787-706-2823
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-06
Last Update Date:2009-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR379291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
0031177Medicare PIN