Healthcare Provider Details

I. General information

NPI: 1538229265
Provider Name (Legal Business Name): LABORATORIO CLINICO SILMEND I
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2006
Last Update Date: 04/08/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CALLE BARCELO 59
VILLALBA PUERTO RICO
00766
UM

IV. Provider business mailing address

CALLE BARCELO 59
VILLALBA PUERTO RICO
00766
UM

V. Phone/Fax

Practice location:
  • Phone: 787-847-0150
  • Fax: 787-847-0150
Mailing address:
  • Phone: 787-847-0150
  • Fax: 787-847-0150

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number387
License Number StatePR

VIII. Authorized Official

Name: MRS. NORMA I. SILVAGNOLI COLLAZO
Title or Position: DIRECTOR
Credential: BSMT
Phone: 787-847-0150