Provider Demographics
NPI:1316963614
Name:LABORATORIO CLINICO SINAI, LLC
Entity type:Organization
Organization Name:LABORATORIO CLINICO SINAI, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:MRS
Authorized Official - First Name:GLORIA ISABEL
Authorized Official - Middle Name:PEREZ
Authorized Official - Last Name:TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:MT
Authorized Official - Phone:787-240-2344
Mailing Address - Street 1:HC 6 BOX 61429
Mailing Address - Street 2:
Mailing Address - City:CAMUY
Mailing Address - State:PR
Mailing Address - Zip Code:00627-9023
Mailing Address - Country:US
Mailing Address - Phone:787-820-0881
Mailing Address - Fax:787-820-0881
Practice Address - Street 1:CARR. 119 KM 9.2 PLAZA PALOMAR
Practice Address - Street 2:BO. CAMUY ARRIBA
Practice Address - City:CAMUY
Practice Address - State:PR
Practice Address - Zip Code:00627-0062
Practice Address - Country:US
Practice Address - Phone:787-820-0881
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-14
Last Update Date:2022-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR984291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR3774-3OtherPROVIDER #
PR=========OtherPROVIDER #
PR20206OtherPROVIDER #
PR4964OtherPROVIDER #
PR800430OtherPROVIDER #
PR800430OtherPROVIDER #
PR=========OtherPROVIDER #