Healthcare Provider Details

I. General information

NPI: 1689614455
Provider Name (Legal Business Name): HEALTHCARE AMBULATORY SERVICES INC - LABORATORY CAGUAS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2006
Last Update Date: 04/30/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PLAZA DEL CARMEN MALL #24
CAGUAS PR
00725-0072
US

IV. Provider business mailing address

PMB 620 PO BOX 4952
CAGUAS PR
00726-4952
US

V. Phone/Fax

Practice location:
  • Phone: 787-286-6060
  • Fax: 787-286-6161
Mailing address:
  • Phone: 787-728-3030
  • Fax: 787-728-7050

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number StatePR
# 2
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number1056
License Number StatePR
# 3
Primary TaxonomyY
Taxonomy Code261QE0002X
TaxonomyEmergency Care Clinic/Center
License Number
License Number StatePR

VIII. Authorized Official

Name: LUZ N TOLEDO NUNEZ
Title or Position: CLINICS STRATEGY
Credential:
Phone: 787-286-6060