NPIMap

Carmen Cermira Rivera Marcano

Organization Active NPI Clinical Medical Laboratory · Juncos, PR

NPI 1548382575 · NPPES record last updated Mar 18, 2014

Key facts

NPI
1548382575
Entity type
Organization (NPI type 2)
Primary specialty
Clinical Medical Laboratory 291U00000X
Legal business name
CARMEN CERMIRA RIVERA MARCANO
Practice address
56 Calle Munoz Rivera
Suite 6
Juncos, PR 00777-3338
Phone
(787) 734-5188
Fax
(787) 734-4450
NPI assigned
Apr 3, 2007
Organization subpart
No

Authorized official

Name
Carmen C Rivera Marcano
Title
Owner
Phone
(787) 734-5188

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 3

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in PR

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20050817000245 PR Part B Supplier - Independent Clinical Laboratory 9638109887 Practice locations: Juncos, PR

National Provider Directory

Tax ID family
Laboratorio Clin Licer (4 organizations share this tax ID)

Locations

56 Calle Munoz Rivera
Ste 6
Juncos, PR 00777
Phone (787) 734-5188

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Yes

Addresses

Primary practice location

56 Calle Munoz Rivera
Suite 6
Juncos, PR 00777-3338

Mailing address

56 Calle Munoz Rivera
Suite 6
Juncos, PR 00777-3338
Phone (787) 734-5188

Other names

  • Laboratorio Licer Universal Doing business as

Other providers in Juncos, PR

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

Sources for this page

Verify at the official NPI Registry.