Organization
LABORATORIO CLINICO ADAMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IVAN A LOPENENA BAIRETO PROPIETARIO (PROPIETARIO)
(787) 882-5915
Entity
Organization
Contact information
Practice address
CARRATERA #2 KM 122.0, BARRIO CORRALES FRENTE ESCUELA ADAMS, AGUADILLA, PR 00605
(787) 882-5975
Mailing address
PO BOX 3088, AGUADILLA, PR 00605
(787) 882-5975
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1010207
BLUE CROSS
—
01
—
31489
TRIPLE S
—
01
—
400689
PRESERV HIATH
—
01
—
6030092
HUMANA
—
Enumeration date
02/02/2006
Last updated
08/07/2008
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