MEDICARE: LABORATORIO CLINICO FIGUEROA P S C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	291U00000X	Clinical Medical Laboratory	6663	PR

General Provider Information

NPI Number	:	1114251048
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LABORATORIO CLINICO FIGUEROA P S C

Provider Business Mailing Address
First Line	:	CALLE GIRASOL #41
Second Line	:	URB. LA ALIANZA
City	:	MOROVIS
State	:	PR
Zip	:	00687
Country	:	US
Telephone Number	:	787-531-7673
Fax Number	:

Provider Business Practice Location Address
First Line	:	CARR 155 # KM 58.5
Second Line	:	BO. PUGNADO ADENTRO
City	:	VEGA BAJA
State	:	PR
Zip	:	00693-5243
Country	:	US
Telephone Number	:	787-531-7673
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MRS. CARLEN FIGUEROA
Credential	:
Telephone Number	:	787-531-7673

Provider Enumeration Date	:	09/24/2009
Last Update Date	:	08/18/2010

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