Healthcare Provider Details

I. General information

NPI: 1013847037
Provider Name (Legal Business Name): LABORATORIO CLINICO LA FAMILIA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARRETERA 113 KM 2.3. AVENIDA NOEL ESTRADA
ISABELA PR
00662
US

IV. Provider business mailing address

323 PASEO GIBRALTAR
ISABELA PR
00662-4786
US

V. Phone/Fax

Practice location:
  • Phone: 787-609-7808
  • Fax: 787-609-7808
Mailing address:
  • Phone: 787-609-7808
  • Fax: 787-609-7808

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: MR. DANIEL QUINONES
Title or Position: PRESIDENTE
Credential:
Phone: 787-609-7808