Healthcare Provider Details
I. General information
NPI: 1083533814
Provider Name (Legal Business Name): LABORATORIO CLINICO LA MONSERRATE CORP.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1159 CALLE MAGNOLIA
MAYAGUEZ PR
00682-1284
US
IV. Provider business mailing address
PO BOX 1338
HORMIGUEROS PR
00660-5338
US
V. Phone/Fax
- Phone: 787-833-4454
- Fax:
- Phone: 787-805-1495
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 291U00000X |
| Taxonomy | Clinical Medical Laboratory |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JEANNETTE
SARAHI
TROCHE
Title or Position: PRESIDENT
Credential: MT
Phone: 787-805-1495