Provider Demographics
NPI:1801887807
Name:LABORATORIO CLINICO JELMAP
Entity type:Organization
Organization Name:LABORATORIO CLINICO JELMAP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ORLANDO
Authorized Official - Middle Name:F
Authorized Official - Last Name:TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:MEDICAL TECHNOLOGIST
Authorized Official - Phone:787-837-3067
Mailing Address - Street 1:PO BOX 1749
Mailing Address - Street 2:
Mailing Address - City:JUANA DIAZ
Mailing Address - State:PR
Mailing Address - Zip Code:00795-5503
Mailing Address - Country:US
Mailing Address - Phone:787-837-3067
Mailing Address - Fax:787-837-3067
Practice Address - Street 1:38 CALLE DEGETAU
Practice Address - Street 2:
Practice Address - City:JUANA DIAZ
Practice Address - State:PR
Practice Address - Zip Code:00795-1626
Practice Address - Country:US
Practice Address - Phone:787-837-3067
Practice Address - Fax:787-837-3067
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory