Provider Demographics
NPI:1154574374
Name:MARGARITA CLINICAL LABORATORIES, INC
Entity type:Organization
Organization Name:MARGARITA CLINICAL LABORATORIES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENTE
Authorized Official - Prefix:
Authorized Official - First Name:EDITH
Authorized Official - Middle Name:M
Authorized Official - Last Name:ECHEVARRIA
Authorized Official - Suffix:
Authorized Official - Credentials:MT
Authorized Official - Phone:787-868-7272
Mailing Address - Street 1:PO BOX 203
Mailing Address - Street 2:
Mailing Address - City:AGUADA
Mailing Address - State:PR
Mailing Address - Zip Code:00602-0203
Mailing Address - Country:US
Mailing Address - Phone:787-868-7272
Mailing Address - Fax:787-868-7272
Practice Address - Street 1:CARR. 4415 KM 0.1
Practice Address - Street 2:BO. ASOMANTE
Practice Address - City:AGUADA
Practice Address - State:PR
Practice Address - Zip Code:00602-0203
Practice Address - Country:US
Practice Address - Phone:787-868-7272
Practice Address - Fax:787-868-7272
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-31
Last Update Date:2009-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1169291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory