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NPI Code Detail

MEDICARE: LABORATORIO CLINICO RAMVAD INC

MEDICARE: LABORATORIO CLINICO RAMVAD INC
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 Laboratory0338PR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
15146OTHERFIRST MEDICAL
2050433OTHERCRUZ AZUL
331057RAOTHERPRSSS
46001378OTHERACAA
59180044OTHERHUMANA HEALTH
69180044OTHERHUMANA INSURANCE
7LA0050OTHERPALIC
8400017OTHERPREFERRED HEALTH

General Provider Information

NPI Number : 1386608057
Entity Type Code : Organization
Provider Name (Legal Business Name) : LABORATORIO CLINICO RAMVAD INC
Provider Business Mailing Address
First Line : 716 AVENIDA PONCE DE LEON
Second Line : STE 201
City : HATO REY
State : PR
Zip : 00918-4510
Country : US
Telephone Number : 787-758-7120
Fax Number : 787-758-7120
Provider Business Practice Location Address
First Line : 716 AVENIDA PONCE DE LEON
Second Line : STE 201
City : HATO REY
State : PR
Zip : 00918-4510
Country : US
Telephone Number : 787-758-7120
Fax Number : 787-758-7120
Authorized Official
Title or Position : DIRECTOR
Name : NILDA VALDES-PLAZA
Credential : MSMT
Telephone Number : 787-758-7120
Provider Enumeration Date : 04/12/2006
Last Update Date : 11/08/2010

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Directions to “LABORATORIO CLINICO RAMVAD INC ” Practice Location

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