Healthcare Provider Details

I. General information

NPI: 1578935631
Provider Name (Legal Business Name): LABORATORIO CLINICO CDT DR. ARNALDO J GARCIA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/28/2015
Last Update Date: 05/24/2023
Certification Date: 05/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CALLE FLOR ANTILLANA RESIDENCIAL LUIS LLORENS TORRES
SAN JUAN PR
00907-1405
US

IV. Provider business mailing address

PO BOX 21405
SAN JUAN PR
00928-1405
US

V. Phone/Fax

Practice location:
  • Phone: 787-480-4900
  • Fax: 787-977-8401
Mailing address:
  • Phone: 787-480-3876
  • Fax: 787-977-8401

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number678
License Number StatePR

VIII. Authorized Official

Name: DR. LUIS V CLAS
Title or Position: EXECUTIVE DIRECTORDIRECTOR/CEO
Credential: M.D.
Phone: 787-480-3838