Provider Demographics
NPI:1386937464
Name:LABORATORIO CLINICO CAYEY, INC.
Entity type:Organization
Organization Name:LABORATORIO CLINICO CAYEY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TANIA
Authorized Official - Middle Name:L
Authorized Official - Last Name:PERALES SELLES
Authorized Official - Suffix:
Authorized Official - Credentials:MT, ASCP
Authorized Official - Phone:787-738-0200
Mailing Address - Street 1:HC 71 BOX 7013
Mailing Address - Street 2:
Mailing Address - City:CAYEY
Mailing Address - State:PR
Mailing Address - Zip Code:00736-9543
Mailing Address - Country:US
Mailing Address - Phone:787-738-0200
Mailing Address - Fax:787-263-6471
Practice Address - Street 1:CARR. #1 KM 51.8 BARRIO BEATRIZ
Practice Address - Street 2:
Practice Address - City:CIDRA
Practice Address - State:PR
Practice Address - Zip Code:00739
Practice Address - Country:US
Practice Address - Phone:787-647-2823
Practice Address - Fax:787-263-6471
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-23
Last Update Date:2023-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory