MEDICARE: P.R. CLINICAL REFERENCE LABORATORY 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
1	291U00000X	Clinical Medical Laboratory	558	PR

General Provider Information

NPI Number	:	1932102167
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	P.R. CLINICAL REFERENCE LABORATORY INC

Provider Business Mailing Address
First Line	:	P.O. BOX 4605
Second Line	:
City	:	VEGA BAJA
State	:	PR
Zip	:	00694
Country	:	US
Telephone Number	:	787-966-7108
Fax Number	:	787-680-0183

Provider Business Practice Location Address
First Line	:	CALLE JJ ACOSTA NO 46
Second Line	:
City	:	VEGA BAJA
State	:	PR
Zip	:	00693
Country	:	US
Telephone Number	:	787-966-7108
Fax Number	:	787-680-0183

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. CARLOS A. GONZALEZ
Credential	:
Telephone Number	:	787-246-4698

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	08/04/2023

Similar Medicare Providers

1851396584 — DR. JUAN DIEGO HERNANDEZ D.M.D
Practice Location Address:

EXTENCION BETANCES #181 , ROAD 155 KM.66.8
VEGA BAJA, PR
00693

Practice Phone: 787-858-2744
Practice Fax: 787-858-2744

1831195064 — MRS. WANDA M AYMAT RODRIQUEZ DMD
Practice Location Address:

BETANCES 38B
VEGA BAJA, PR
00693-4308

Practice Phone: 787-855-3996
Practice Fax: 787-855-4346

1003815879 — DR. RAUL A RODRIGUEZ ALMODOVAR M.D.
Practice Location Address:

4 CALLE JOSE JULIAN ACOSTA
VEGA BAJA, PR
00693-4469

Practice Phone: 787-807-3703
Practice Fax: 787-807-3703

1194725655 — ARMANDO FIGUEROA D.M.D.
Practice Location Address:

1 CARR 155 # KM66.1 , BO ALGARROBO
VEGA BAJA, PR
00693-5243

Practice Phone: 787-858-4443
Practice Fax: 787-858-4443

1487655486 — VEGA BAJA MEDICAL SERVICES INC.
Practice Location Address:

URB. BRASILIA MARGINAL #2 , ESQ. CALLE 2 D-10 SUITE #3
VEGA BAJA, PR
00693

Practice Phone: 787-855-7202
Practice Fax: 787-807-6721

1700878394 — CENTRO RADIOLOGICO DE VEGA BAJA
Practice Location Address:

3998 CARR 2 , SECT. EL CRIOLLO
VEGA BAJA, PR
00693-4140

Practice Phone: 787-855-2687
Practice Fax: 787-858-8522

Directions to “P.R. CLINICAL REFERENCE LABORATORY INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.