Active NPIOrganization

Laboratorio Clinico Fajardo, INC.

Clinical Medical Laboratory in Fajardo, Puerto Rico

NPI Number1740247253
Practice location
40 Carr 194, Ste. 100 Fdo. Cinema Bldg, Fajardo, PR 00738-2940
Fax
787-863-3116
Last updated
December 15, 2022

Laboratorio Clinico Fajardo, INC. is a healthcare organization based in Fajardo, PR. Laboratorio Clinico Fajardo, INC. practices in Fajardo, PR. The NPI Number for Laboratorio Clinico Fajardo, INC. is 1740247253 and holds a License No. 1106 (PR). The current practice location address for Laboratorio Clinico Fajardo, INC. is 40 Carr 194, Ste. 100 Fdo. Cinema Bldg, Fajardo, PR 00738-2940 and can be reached out via phone at 787-863-5952 and via fax at 787-863-3116.

Provider Profile Details

NPI Number
1740247253
Provider Name
Laboratorio Clinico Fajardo, INC.
Provider Entity Type
Organization
Address
40 Carr 194, Ste. 100 Fdo. Cinema Bldg, Fajardo, PR 00738-2940
Phone Number
787-863-5952
Fax Number
787-863-3116
Primary Taxonomy
Clinical Medical Laboratory · 291U00000X
Organization Subpart
No
Authorized Official
Mrs. Wanda Ivette Aviles, MT · Owner-President Of Corp-Lab. Superv · 787-863-5952
Provider Enumeration Date
April 27, 2006
Last Update Date
December 15, 2022
Certification Date
December 13, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
40 Carr 194
Ste. 100 Fdo. Cinema Bldg
Fajardo, PR 00738-2940
Zip
00738-2940
Phone Number
787-863-5952
Fax Number
787-863-3116
Fajardo, PR 00738Get directions →

Provider Business Mailing Address Details

Address
40 Carr 194
Suite 100
Fajardo, PR 00738-2940
City
Fajardo
State
PR
Zip
00738-2940
Phone Number
787-863-5952
Fax Number
787-863-3116

License Information

License Number
1106
License State
PR
Taxonomy
Clinical Medical Laboratory · 291U00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Laboratorio Clinico Fajardo, INC.?

The NPI number of Laboratorio Clinico Fajardo, INC. is 1740247253. It was assigned on April 27, 2006 and is currently active in the NPPES registry.

What is the specialty of Laboratorio Clinico Fajardo, INC.?

Laboratorio Clinico Fajardo, INC. is registered under the primary taxonomy Clinical Medical Laboratory (code 291U00000X), licensed in PR under license number 1106.

Where does Laboratorio Clinico Fajardo, INC. practice?

The practice location is 40 Carr 194, Ste. 100 Fdo. Cinema Bldg, Fajardo, PR 00738-2940. The office can be reached at 787-863-5952 (phone) or 787-863-3116 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1740247253 directly on the NPPES registry website.

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