Healthcare Provider Details

I. General information

NPI: 1821101403
Provider Name (Legal Business Name): MONTEMAR CLINICAL LABS., INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/16/2006
Last Update Date: 07/09/2025
Certification Date: 07/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR 140 KM 63.4 BO. MAGUEYES
BARCELONETA PR
00674
US

IV. Provider business mailing address

PO BOX 2406
MANATI PR
00674-2406
US

V. Phone/Fax

Practice location:
  • Phone: 787-846-0303
  • Fax: 787-846-0303
Mailing address:
  • Phone: 787-598-0889
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number1099
License Number StatePR

VII. Legacy identifiers

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

VIII. Authorized Official

Name: MRS. LUZ HERMINA
Title or Position: OWNER
Credential:
Phone: 787-846-0303