NPIMap

Carmen Cermira Rivera Marcano

Organization Active NPI Clinical Medical Laboratory · San Lorenzo, PR

NPI 1992828685 · NPPES record last updated Aug 5, 2008

Key facts

NPI
1992828685
Entity type
Organization (NPI type 2)
Primary specialty
Clinical Medical Laboratory 291U00000X
Legal business name
CARMEN CERMIRA RIVERA MARCANO
Practice address
Calle Munoz Rivera 5 Norte
San Lorenzo, PR 00754
Phone
(787) 736-2951
Fax
(787) 715-0170
NPI assigned
Apr 9, 2007
Organization subpart
No

Authorized official

Name
Carmen C Rivera Marcano
Title
Owner
Phone
(787) 736-2951

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
O20050919000163 PR Part B Supplier - Independent Clinical Laboratory 9638109887 Practice locations: San Lorenzo, PR

National Provider Directory

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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Yes

Addresses

Primary practice location

Calle Munoz Rivera 5 Norte
San Lorenzo, PR 00754

Mailing address

Calle Munoz Rivera 5 Norte
San Lorenzo, PR 00754
Phone (787) 736-2951

Other names

  • Laboratorio Licer Universal Doing business as

Other providers in San Lorenzo, PR

All providers in San Lorenzo, PR · Clinical Medical Laboratory in Puerto Rico

Sources for this page

Verify at the official NPI Registry.