Provider Demographics
NPI:1427644723
Name:LABORATORIO CLINICO CAPARROS LLC
Entity type:Organization
Organization Name:LABORATORIO CLINICO CAPARROS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NYDIA
Authorized Official - Middle Name:Y
Authorized Official - Last Name:TOLEDO GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-680-7201
Mailing Address - Street 1:PO BOX 1913
Mailing Address - Street 2:
Mailing Address - City:UTUADO
Mailing Address - State:PR
Mailing Address - Zip Code:00641-1913
Mailing Address - Country:US
Mailing Address - Phone:787-680-7201
Mailing Address - Fax:787-880-3122
Practice Address - Street 1:39 CALLE ANTONIO R BARCELO
Practice Address - Street 2:
Practice Address - City:UTUADO
Practice Address - State:PR
Practice Address - Zip Code:00641-2878
Practice Address - Country:US
Practice Address - Phone:787-680-7201
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-21
Last Update Date:2021-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory