Organization
LABORATORIO CLINICO PUJOLS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DAISY IVETTE SOTO BBA (ADMINISTRADORA)
(787) 896-7381
Entity
Organization
Contact information
Practice address
CARR. 111 KM. 17.0, SAN SEBASTIAN, PR 00685-7012
(787) 896-7381
(787) 896-7381
Mailing address
P.O. BOX 3692, HATO ARRIBA STATION, SAN SEBASTIAN, PR 00685-7012
(787) 896-7381
(787) 896-7381
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
1022
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40D0982044
CLIA NUMBER
PR
Enumeration date
08/29/2006
Last updated
10/17/2018
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