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Organization
SOUTHERN PATHOLOGY SERVICES, INC.
Active
Organization
SOUTHERN PATHOLOGY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GIOVANNA VAQUER (BILLING DIRECTOR)
(787) 841-8645
Entity
Organization
Contact information
Practice address
234 DAIGUE INDUSTRIAL SABANETIS, PONCE, PR 00715
(787) 841-8640
(787) 043-3464
Mailing address
PO BOX 10729, PONCE, PR 00732-0729
(787) 841-0042
(787) 843-3464
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
—
NULL
207ZP0101X
Anatomic Pathology Physician
Primary
—
—
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
—
NULL
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
—
—
Other
Enumeration date
10/28/2005
Last updated
04/14/2020
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