Provider Demographics
NPI:1962542803
Name:LABORATORIO CLINICO FRANCISCO LANDRON INC.
Entity type:Organization
Organization Name:LABORATORIO CLINICO FRANCISCO LANDRON INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LILLIANNE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:ALONSO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-382-4167
Mailing Address - Street 1:CENTRO COMERCIAL LAGUNA GARDENS
Mailing Address - Street 2:SUITE 208
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00979
Mailing Address - Country:US
Mailing Address - Phone:787-253-0302
Mailing Address - Fax:787-791-6145
Practice Address - Street 1:CENTRO COMERCIAL LAGUNA GARDENS
Practice Address - Street 2:SUITE 208
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00979
Practice Address - Country:US
Practice Address - Phone:787-253-0302
Practice Address - Fax:787-791-6145
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR377291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR38084Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER