Provider Demographics
NPI:1386961134
Name:BIOMAS CORP
Entity type:Organization
Organization Name:BIOMAS CORP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:ADRIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:LABRADOR
Authorized Official - Suffix:
Authorized Official - Credentials:MT
Authorized Official - Phone:787-230-7067
Mailing Address - Street 1:CARR 167
Mailing Address - Street 2:PLAZA PRADERA SHOPPING CENTER, EDIF. D SUITE1B
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00956-9214
Mailing Address - Country:US
Mailing Address - Phone:787-230-7067
Mailing Address - Fax:787-230-7068
Practice Address - Street 1:CARRETERA 167
Practice Address - Street 2:PLAZA PRADERA SHOPPING CENTER EDIFICIO D SUITE 1B
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00956
Practice Address - Country:US
Practice Address - Phone:787-230-7067
Practice Address - Fax:787-230-7068
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-03
Last Update Date:2010-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1218291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory