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NPI Code Detail

MEDICARE: LABORATORIO CLINICO APOLO

MEDICARE: LABORATORIO CLINICO APOLO
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
1291U00000XClinical Medical Laboratory222PR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
130127OTHERPRTRIPLE-S
2222OTHERPRSTATE LICENSE

General Provider Information

NPI Number : 1346367273
Entity Type Code : Organization
Provider Name (Legal Business Name) : LABORATORIO CLINICO APOLO
Provider Business Mailing Address
First Line : C2 AVE ALEJANDRINO
Second Line : VILLA CLEMENTINA
City : GUAYNABO
State : PR
Zip : 00969-4704
Country : US
Telephone Number : 787-789-5836
Fax Number :
Provider Business Practice Location Address
First Line : C2 AVE ALEJANDRINO
Second Line : VILLA CLEMENTINA
City : GUAYNABO
State : PR
Zip : 00969-4704
Country : US
Telephone Number : 787-789-5836
Fax Number :
Authorized Official
Title or Position : MEDICAL TECHNOLOGIST
Name : MRS. JERUSHA ARBOLEDA
Credential :
Telephone Number : 787-789-5836
Provider Enumeration Date : 03/24/2007
Last Update Date : 08/11/2008

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1912076761 — WILFREDO RODRIGUEZ ARBOLEDA M.D.
Practice Location Address:
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Practice Location Address:
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1083943914 — DR. ANDRE E LAMOUTTE-NEGRONI O.D.
Practice Location Address:
C8 AVE ALEJANDRINO
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00969-4704
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Directions to “LABORATORIO CLINICO APOLO ” Practice Location

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