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Organization

LABORATORIO CLINICO BARBOSA INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. PORFIRIO ROSADO JR. R.N. (ADMINISTRATOR)
(787) 767-2145
Entity
Organization

Contact information

Practice address
315 AVE BARBOSA, SAN JUAN, PR 00917-3306
(787) 767-2145
(787) 751-9253
Mailing address
#315 AVE BARBOSA, SAN JUAN, PR 00917-3306
(787) 767-2145
(787) 751-9253

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
576
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0038294
MEDICARE
PR
01
050989
CRUZ AZUL PROVIDER ID
PR
01
1204
AMERICAN H. MEDICARE ID
PR
01
20217
AMERICAN HEALTH ID
PR
01
20362
PMC PROVIDER ID
PR
01
30361
TRIPLE S PROVIDER ID
PR
01
400235
UTI PROVIDER ID
PR
01
61101
HUMANA GOLD PLUS ID
PR
01
83294
SDM PROVIDER ID
PR
01
8333
IMC PROVIDER ID
PR
01
890117
MMM PROVIDER ID
PR
01
9190041
HUMANA PROVIDER ID
PR
01
LA0124
PALIC PROVIDER ID
PR
01
LB00576
UIA PROVIDER ID
PR
Enumeration date
08/14/2006
Last updated
08/03/2015
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