Provider Demographics
NPI:1114004843
Name:LABORATORIO CLINICO RAMEY
Entity type:Organization
Organization Name:LABORATORIO CLINICO RAMEY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL TECHNOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOHANNA
Authorized Official - Middle Name:M
Authorized Official - Last Name:RAMOS
Authorized Official - Suffix:
Authorized Official - Credentials:MT
Authorized Official - Phone:787-890-2075
Mailing Address - Street 1:PO BOX 250371
Mailing Address - Street 2:
Mailing Address - City:AGUADILLA
Mailing Address - State:PR
Mailing Address - Zip Code:00604-0371
Mailing Address - Country:US
Mailing Address - Phone:787-890-2075
Mailing Address - Fax:787-890-2075
Practice Address - Street 1:CALLE QUINTA 183 N
Practice Address - Street 2:BASE RAMEY
Practice Address - City:AGUADILLA
Practice Address - State:PR
Practice Address - Zip Code:00604-0371
Practice Address - Country:US
Practice Address - Phone:787-890-2075
Practice Address - Fax:787-890-2075
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2008-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR389291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR40D0863596OtherCLIA