Provider Demographics
NPI:1962110668
Name:LABORATORIO CLINICO FAMILIAR ZARZA
Entity type:Organization
Organization Name:LABORATORIO CLINICO FAMILIAR ZARZA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:FABIOLA
Authorized Official - Middle Name:
Authorized Official - Last Name:LOPEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MT
Authorized Official - Phone:787-644-7922
Mailing Address - Street 1:PO BOX 588
Mailing Address - Street 2:
Mailing Address - City:QUEBRADILLAS
Mailing Address - State:PR
Mailing Address - Zip Code:00678-0588
Mailing Address - Country:US
Mailing Address - Phone:787-644-7922
Mailing Address - Fax:787-262-7100
Practice Address - Street 1:BO PUENTE SECTOR ZARZA
Practice Address - Street 2:CARR #2 KM 90 INTERIOR
Practice Address - City:CAMUY
Practice Address - State:PR
Practice Address - Zip Code:00627
Practice Address - Country:US
Practice Address - Phone:787-644-7922
Practice Address - Fax:787-262-7100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-10
Last Update Date:2022-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory