Provider Demographics
NPI:1285990952
Name:MEDITECH3 CLINICAL LABORATORIES INC
Entity type:Organization
Organization Name:MEDITECH3 CLINICAL LABORATORIES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENTA
Authorized Official - Prefix:
Authorized Official - First Name:ANABELL
Authorized Official - Middle Name:
Authorized Official - Last Name:ESCANIO GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-948-6665
Mailing Address - Street 1:B14 CALLE UCAR
Mailing Address - Street 2:URB.SANTA CLARA
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969-6847
Mailing Address - Country:US
Mailing Address - Phone:787-501-0041
Mailing Address - Fax:
Practice Address - Street 1:#845 AVE. ITURREGUI
Practice Address - Street 2:URB. EXT COUNTRY CLUB
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00924
Practice Address - Country:US
Practice Address - Phone:787-773-1273
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-07
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory