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Organization
CLINICAL & LABORATORY MANAGEMENT
Active
Organization
CLINICAL & LABORATORY MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. COLLAZO ORTIZ MARISOL MT MS (EJECUTIVE DIRECTOR)
(787) 739-2054
Entity
Organization
Contact information
Practice address
STREET BARCELO NUM 12 CORNER 173 CIDRA PR 00739, PMB 1111 BOX 6400, CAYEY, PR 00737-6400
(797) 739-2054
(787) 739-5525
Mailing address
CALLE BARCELO NUM 12 ESQ CARR 173 CIDRA, PR, PMB 1111 BOX 6400, CAYEY, PR 00737-6400
(787) 739-2054
(787) 739-5525
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
122
PR
Other
Enumeration date
08/31/2009
Last updated
08/31/2009
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