Healthcare Provider Details

I. General information

NPI: 1235449000
Provider Name (Legal Business Name): LABORATORIO CLINICO BIO-HEALTH CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/14/2010
Last Update Date: 10/14/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

STREET 2 KM 54 6 CARIBBEAN CINEMAS SEGUNDO NIVEL SUITE 2
BARCELONETA PR
00617
US

IV. Provider business mailing address

PO BOX 1483
VEGA BAJA PR
00694
US

V. Phone/Fax

Practice location:
  • Phone: 787-549-8288
  • Fax:
Mailing address:
  • Phone: 787-549-8288
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: LIZ MARIE PAGAN
Title or Position: PRESIDENTA
Credential:
Phone: 787-549-8288