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Organization
OSCAR TRUJILLO
Active
Organization
OSCAR TRUJILLO
Active
Other names
PATHOLOGY LAB
Organization subpart
No
Provider details
NPI number
Authorized official
MISS OSCAR TRUJILLO M.D. (DIRECTOR)
(787) 834-8202
Entity
Organization
Contact information
Practice address
55 DR BASORA STREET SUITE 206, MAYAGUEZ, PR 00680
(787) 834-8202
(787) 831-5255
Mailing address
P O BOX 1146, MAYAGUEZ, PR 00681
(787) 834-8202
(787) 831-5255
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
719B
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40D0723878
CLIA
PR
Enumeration date
09/25/2006
Last updated
07/17/2013
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