Organization
LABORATORIO CLINICO DEL TOA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ILIA COLON (OWNER)
(787) 486-2768
Entity
Organization
Contact information
Practice address
LILLY MINI MALL CARR 165 KM 10.2 BO. CONTORNO, TOA ALTA, PR 00954-0000
(787) 486-2768
Mailing address
PO BOX 505, VEGA ALTA, PR 00692-0505
(787) 486-2768
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
04/28/2011
Last updated
04/28/2011
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