Healthcare Provider Details

I. General information

NPI: 1356583645
Provider Name (Legal Business Name): BUHLER PATHOLOGY LABORATORIES,INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2009
Last Update Date: 04/01/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

JARDINES SHOPING CENTER CARR 156 CALLE A 7
CAGUAS PR
00725
US

IV. Provider business mailing address

PO BOX 194000
SAN JUAN PR
00919-4000
US

V. Phone/Fax

Practice location:
  • Phone: 787-747-2019
  • Fax: 787-653-5644
Mailing address:
  • Phone: 787-747-2019
  • Fax: 787-653-5644

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MRS. GLADYS CALLUPIL
Title or Position: OFICIAL DE FACTURACION
Credential:
Phone: 787-747-2019