Organization
CENTRO DIAGNOSTICO Y TRATAMIENTO DE RIO GRANDE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LUIS LEBRON (PRESIDENT)
(787) 809-1010
Entity
Organization
Contact information
Practice address
CALLE MANUEL PIMENTEL Y CASTRO 200, PUEBLO, RIO GRANDE, PR 00745-0000
(787) 809-1010
(787) 888-1832
Mailing address
PO BOX 847, RIO GRANDE, PR 00745-0847
(787) 809-1010
(787) 888-1832
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
962
PR
Other
Enumeration date
12/27/2007
Last updated
12/27/2007
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