Organization
EMPRESAS JERICO INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANCIS MERCADO (PRESIDENT)
(787) 851-1007
Entity
Organization
Contact information
Practice address
30 CALLE SALVADOR BRAU, CABO ROJO, PR 00623-3417
(787) 851-1007
(787) 255-2680
Mailing address
30 CALLE SALVADOR BRAU, CABO ROJO, PR 00623-3417
(787) 851-1007
(787) 255-2680
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
488
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050680
CRUZ AZUL
—
01
—
0867636
CIGNA
—
01
—
2176-3
ASOCIACION DE MAESTROS
—
01
—
30433-JE
TRIPPLE-S
—
01
—
400427
UTI
—
01
—
488
SERVICIOS DE SALUD BELLA
—
01
—
6230005
HUMANA
—
01
—
LA-0202
PALIC
—
Enumeration date
10/19/2005
Last updated
07/11/2012
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