Provider Demographics
NPI:1124107107
Name:EMPRESAS FIGUEROA,GOYTIA Y ASOCIADOS INC.
Entity type:Organization
Organization Name:EMPRESAS FIGUEROA,GOYTIA Y ASOCIADOS INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CO OWNER ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SONYA
Authorized Official - Middle Name:LYSSETTE
Authorized Official - Last Name:GOYTIA
Authorized Official - Suffix:
Authorized Official - Credentials:MS MT ASCP
Authorized Official - Phone:787-760-4500
Mailing Address - Street 1:PO BOX 1468
Mailing Address - Street 2:
Mailing Address - City:TRUJILLO ALTO
Mailing Address - State:PR
Mailing Address - Zip Code:00977-1468
Mailing Address - Country:US
Mailing Address - Phone:787-760-4500
Mailing Address - Fax:787-283-2950
Practice Address - Street 1:KM 8.6 BARRIO DOS BOCAS
Practice Address - Street 2:CARR.181
Practice Address - City:TRUJILLO ALTO
Practice Address - State:PR
Practice Address - Zip Code:00976-0000
Practice Address - Country:US
Practice Address - Phone:787-160-4500
Practice Address - Fax:787-286-2950
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EMPRESAS FIGUEROA GOYTIA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-11-02
Last Update Date:2007-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR852291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR40D0882044OtherCLIA
PR31066Medicare ID - Type Unspecified