Policlinica San Pedro PSC

Organization Active NPI Clinical Medical Laboratory · Arroyo, PR

NPI 1285648022 · NPPES record last updated Sep 19, 2017

Key facts

NPI
1285648022
Entity type
Organization (NPI type 2)
Primary specialty
Clinical Medical Laboratory 291U00000X
License
1059 (PR)
Legal business name
POLICLINICA SAN PEDRO PSC
Practice address
211 Calle Morse
Arroyo, PR 00714-2350
Phone
(787) 839-3980
Fax
(787) 271-2515
NPI assigned
Jul 28, 2006
Organization subpart
No

Authorized official

Name
Laura C Rivera Irizarry
Title
Administrator
Phone
(787) 839-3980

Corporate family (same tax ID) 2

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
CDT Policlinica San Pedro (3 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 1059 PR Yes

Addresses

Primary practice location

211 Calle Morse
Arroyo, PR 00714-2350

Mailing address

PO Box 818
Arroyo, PR 00714-0818
Phone (787) 839-3980

Other identifiers

IdentifierTypeStateIssuer
004001478OtherPRACAA
6603483331OtherPRMCS
31320OtherPRTRIPLE-S
660348333OtherPRAMERICAN HEALTH
660348333OtherPRMAPHRE
9964OtherPRIMC
3739-3-5068OtherPRPROSAM
660348333OtherPRCIGNA
M215OtherPRMENONITA
660348333OtherPRAETNA
1400123966OtherPRGLOBAL
660348333OtherPRCOSVI
7140014OtherPRHUMANA
660348333OtherPRGHI
660348333OtherPRPALIC

Other names

  • CDT Policlinica San Pedro Doing business as

Other providers in Arroyo, PR

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

Sources for this page

Verify at the official NPI Registry.