Organization
LABORATORIO CLINICO PLAZA REAL INC
Active
Organization
LABORATORIO CLINICO PLAZA REAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAFAEL E SANTIAGO (ADMINISTRATOR)
(787) 720-1444
Entity
Organization
Contact information
Practice address
1 AVE ARBOLOTE, SUITE 302 PLAZA REAL MALL, GUAYNABO, PR 00969-2806
(787) 720-1444
(787) 963-0446
Mailing address
1 AVE ARBOLOTE, SUITE 302 PLAZA REAL MALL, GUAYNABO, PR 00969-2806
(787) 720-1444
(787) 963-0446
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
702
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051307
CRUZ AZUL DE PR
PR
01
—
1271
INTERNATIONAL MEDICAL CAR
PR
01
—
20213
AMERICAN HEALTH
PR
01
—
20278
PREFERRED MEDICAL CHOICE
PR
01
—
30716
SSS
PR
01
—
6570083
HUMANA
PR
01
—
800220
MMM PROVIDER NUMBER
PR
01
—
L-400141
PREFERRED HEALTH PLAN
PR
Enumeration date
10/26/2005
Last updated
11/01/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up