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NPI Code Detail

MEDICARE: LABORATORIO UNIVERSITARIO, INC.

MEDICARE: LABORATORIO UNIVERSITARIO, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1291U00000XClinical Medical Laboratory420PR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1420OTHERPUERTO RICO LICENSE

General Provider Information

NPI Number : 1780868679
Entity Type Code : Organization
Provider Name (Legal Business Name) : LABORATORIO UNIVERSITARIO, INC.
Provider Business Mailing Address
First Line : B19 CALLE ARGOS
Second Line : VILLAS DE BUENA VISTA
City : BAYAMON
State : PR
Zip : 00956-5939
Country : US
Telephone Number : 787-780-0611
Fax Number : 787-780-0014
Provider Business Practice Location Address
First Line : CALLE 2 J14
Second Line : URB. HERMANAS DAVILA
City : BAYAMON
State : PR
Zip : 00959-5098
Country : US
Telephone Number : 787-780-0611
Fax Number : 787-780-0014
Authorized Official
Title or Position : OWNER
Name : MRS. YASMIN L. SANTIAGO
Credential : BS, MT, ASCP
Telephone Number : 787-780-0611
Provider Enumeration Date : 12/27/2007
Last Update Date : 04/23/2026

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Directions to “LABORATORIO UNIVERSITARIO, INC. ” Practice Location

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