=====================================================
General NPI Number Information
=====================================================
NPI Number | 1972450047
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | LAB FLORES DR INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/16/2026
-----------------------------------------------------
Last Update Date | 03/18/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | URB SAN AGUSTIN 65 CALLE MARGINAL #12
-----------------------------------------------------
City | SAN JUAN
-----------------------------------------------------
State | PR
-----------------------------------------------------
Zip | 00923
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 787-759-6804
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 204-14 CALLE 515
-----------------------------------------------------
City | CAROLINA
-----------------------------------------------------
State | PR
-----------------------------------------------------
Zip | 00985-3018
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 787-759-6804
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DIRECTOR
-----------------------------------------------------
Name | DAMARIS DEFENDINI
-----------------------------------------------------
Credential | MLS
-----------------------------------------------------
Telephone | 787-485-3208
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 291U00000X
-----------------------------------------------------
Taxonomy Name | Clinical Medical Laboratory
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------