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Individual

DARLING TAIZ PANTOJA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
CARR 2 KM 18.4, TOA BAJA, PR 00949
(787) 306-1900
Mailing address
342 CALLE CACATUA, URB LOS MONTES, DORADO, PR 00646-9431
(787) 306-1900

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
15-120
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
15-120
CNC, CERTIFICADO DE NECESIDAD Y CONVENIENCIA
PR
Enumeration date
10/13/2015
Last updated
05/05/2022
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