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Organization

BETA LAB

Active
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Organization

BETA LAB

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARY CARMEN BETANCOURT M.T (MEDICAL TECHNOLOGIST)
(787) 613-1942
Entity
Organization

Contact information

Practice address
C/ 601 BLOQUE 222 # 18, VILLA CAROLINA, CAROLINA, PR 00985-2083
(787) 613-1942
Mailing address
COND. PLAZA DEL PARQUE, ED 8 APT C-1, CAROLINA, PR 00983-2089
(787) 613-1942

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
8263
PR

Other

Enumeration date
01/29/2016
Last updated
01/29/2016
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