MARISOL COLLAZO ORTIZ INC NPI 1669518445

NPI Information

  • NPI: 1669518445
  • Provider Name: MARISOL COLLAZO ORTIZ INC
  • Classification: Clinical Medical Laboratory - 291U00000X
  • Entity Type: Organization
  • Doing Business As: DBA LABORATORIO CLINICO CENTRO MEDICINA ESPECIALIZADA
  • Address: 12 CALLE BARCELO
    CIDRA, PR
    ZIP 00739
  • Phone: (787) 739-5525

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NPI Details

MARISOL COLLAZO ORTIZ INC is a clinical medical laboratory in Cidra, PR. The provider is (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. MARISOL COLLAZO ORTIZ INC NPI is 1669518445. The provider is registered as an organization entity type.
The provider Is Doing Business As Dba Laboratorio Clinico Centro Medicina Especializada.

The provider's business location address is:

12 CALLE BARCELO
CIDRA, PR
ZIP 00739-446
Phone: (787) 739-5525
Fax: (787) 739-2054

The provider's authorized official is Marisol Collazo .
The authorized official title is Lab Director and has the following contact phone number (787) 739-5525.

The enumeration date for this NPI number is 1/29/2007 and was last updated on 12/21/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1291U00000XClinical Medical Laboratory807PUERTO RICOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
138329MEDICARE ID-TYPE UNSPECIFIED
215843OTHERAMPR
3=========OTHERMAPFRE MEDICARE EXEL
420213OTHERPREFERRED MEDICARE CHOICE
551539OTHERLACRUZ AZUL DE PUERTO RIC
66390009OTHERHUMANA INSURANCE
7LB00746OTHERUIA
820463OTHERAMERICAN HEALTH
96390009OTHERHUMANA REFORMA
106390009OTHERHUMANA HEALTH PLAN
110877OTHERINTERNATIONAL MEDICAL CAR
1230778OTHERTRIPLE S
13400123OTHERPREFERRED HEALTH UTI

What is NPI?

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This page was last updated on: 11/21/2025

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