Organization
NILSA IVETTE SANCHEZ SHUMATE/LABORATORIO CLINICO MODELO
Active
Other names
Laboratorio Clinico Modelo
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NILSA I SANCHEZ SHUMATE BA (OWNER)
(787) 788-1428
Entity
Organization
Contact information
Practice address
170 AVE BARBOSA, CATANO, PR 00962
(787) 788-1428
(787) 788-2409
Mailing address
PO BOX 598, CATANO, PR 00963-0598
(787) 788-1428
(787) 788-2409
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
523
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011-523
GLOBAL HEALTH PLAN
PR
01
—
0794
INTERNATIONAL MEDICAL CAR
PR
01
—
1000
AMERICAN HEALTH MEDICARE
PR
01
—
1349
APS
PR
01
—
20141
PREFERRED MEDICARE CHOICE
PR
01
—
20200
AMERICAN HEALTH
PR
01
—
3-0315
SSS, OPTIMO, SELECTO
PR
05
—
3-0315
—
PR
01
—
400646
PREFERRED HEALTH
PR
01
—
800047
MMM
PR
01
—
962-0064
HUMANA
PR
01
—
LA-0244
PALIC
PR
Enumeration date
12/30/2005
Last updated
09/13/2023
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