Angela E Fumero Paneto

Organization Active NPI Clinical Medical Laboratory · Yauco, PR

NPI 1013185495 · NPPES record last updated May 27, 2010

Key facts

NPI
1013185495
Entity type
Organization (NPI type 2)
Primary specialty
Clinical Medical Laboratory 291U00000X
License
340 (PR)
Legal business name
ANGELA E FUMERO PANETO
Practice address
49 Calle Munoz Rivera
Yauco, PR 00698-3233
Phone
(787) 856-0580
Fax
(787) 856-0580
NPI assigned
Feb 19, 2008
Organization subpart
No

Authorized official

Name
Mrs. Angela Enid Fumero, M.T..
Title
Owner
Phone
(787) 856-0580

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in PR

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20121115000188 PR Part B Supplier - Independent Clinical Laboratory 2163673393 Practice locations: Yauco, PR

National Provider Directory

Locations

49 Calle Luis Munoz Rivera
Yauco, PR 00698
Phone (787) 856-0580

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 340 PR Yes

Addresses

Primary practice location

49 Calle Munoz Rivera
Yauco, PR 00698-3233

Mailing address

49 Calle Munoz Rivera
Yauco, PR 00698-3233
Phone (787) 856-0580

Other names

  • LABORATORIO CLINICO PLAZA Doing business as

Other providers in Yauco, PR

All providers in Yauco, PR · Clinical Medical Laboratory in Puerto Rico

Sources for this page

Verify at the official NPI Registry.