Provider Demographics
NPI:1386608057
Name:LABORATORIO CLINICO RAMVAD INC
Entity type:Organization
Organization Name:LABORATORIO CLINICO RAMVAD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:NILDA
Authorized Official - Middle Name:
Authorized Official - Last Name:VALDES-PLAZA
Authorized Official - Suffix:
Authorized Official - Credentials:MSMT
Authorized Official - Phone:787-758-7120
Mailing Address - Street 1:716 AVENIDA PONCE DE LEON
Mailing Address - Street 2:STE 201
Mailing Address - City:HATO REY
Mailing Address - State:PR
Mailing Address - Zip Code:00918-4510
Mailing Address - Country:US
Mailing Address - Phone:787-758-7120
Mailing Address - Fax:787-758-7120
Practice Address - Street 1:716 AVENIDA PONCE DE LEON
Practice Address - Street 2:STE 201
Practice Address - City:HATO REY
Practice Address - State:PR
Practice Address - Zip Code:00918-4510
Practice Address - Country:US
Practice Address - Phone:787-758-7120
Practice Address - Fax:787-758-7120
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-12
Last Update Date:2010-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR0338291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
5146OtherFIRST MEDICAL
050433OtherCRUZ AZUL
PR31057RAOtherSSS
6001378OtherACAA
9180044OtherHUMANA HEALTH
9180044OtherHUMANA INSURANCE
LA0050OtherPALIC
400017OtherPREFERRED HEALTH
9180044OtherHUMANA INSURANCE
050433OtherCRUZ AZUL
5146OtherFIRST MEDICAL
=========OtherCIGNA
=========OtherMAPFIC