Provider Demographics
NPI:1427667047
Name:CLINICA TODO SALUD - AIBONITO, LLC
Entity type:Organization
Organization Name:CLINICA TODO SALUD - AIBONITO, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHEILLY
Authorized Official - Middle Name:D
Authorized Official - Last Name:PEREZ FELIX
Authorized Official - Suffix:
Authorized Official - Credentials:MHSA
Authorized Official - Phone:787-545-7073
Mailing Address - Street 1:PO BOX 71114
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN, PR
Mailing Address - State:PR
Mailing Address - Zip Code:00936-8014
Mailing Address - Country:US
Mailing Address - Phone:787-622-3000
Mailing Address - Fax:
Practice Address - Street 1:CARR 725 KM 0.5 BO LLANOS
Practice Address - Street 2:PARQUE INDUSTRIAL L-238-0-61
Practice Address - City:AIBONITO
Practice Address - State:PR
Practice Address - Zip Code:00705-3526
Practice Address - Country:US
Practice Address - Phone:787-545-7073
Practice Address - Fax:787-620-5379
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-29
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR1421OtherSARAF - LABORATORY
PR40D2263629OtherCLIA