Provider Demographics
NPI:1043032345
Name:LABORATORIO NEOCLINICO 2, INC
Entity type:Organization
Organization Name:LABORATORIO NEOCLINICO 2, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENTA
Authorized Official - Prefix:MRS
Authorized Official - First Name:DARLING
Authorized Official - Middle Name:T
Authorized Official - Last Name:PANTOJA MARRERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-925-1840
Mailing Address - Street 1:PMB 164 PO BOX 4002
Mailing Address - Street 2:
Mailing Address - City:VEGA ALTA
Mailing Address - State:PR
Mailing Address - Zip Code:00692-4002
Mailing Address - Country:US
Mailing Address - Phone:787-925-1840
Mailing Address - Fax:
Practice Address - Street 1:CARR 861 KM 6.4 LOCAL 2
Practice Address - Street 2:SECTOR PINAS BO MUCARABONES
Practice Address - City:TOA ALTA
Practice Address - State:PR
Practice Address - Zip Code:00953-9999
Practice Address - Country:US
Practice Address - Phone:787-925-1840
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-28
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory