Organization
LABORATORIO CLINICO BOQUERON INC,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA DE LOS A OCASIO MT (PRESIDENT)
(787) 254-2550
Entity
Organization
Contact information
Practice address
63 CALLE LUIS MUNOZ RIVERA, BOQUERON, PR 00622
(787) 254-2550
(787) 254-2550
Mailing address
PO BOX 323, BOQUERON, PR 00622-0323
(787) 254-2550
(787) 254-2550
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
803
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H0831A
MEDICARE PTAN
PR
Enumeration date
11/13/2013
Last updated
11/13/2013
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