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Organization

LABORATORIO CLINICO SAGRADO CORAZON, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARIA T LEBRON BSMT (CLINICAL LABORATORY DIRECTOR)
(787) 761-5193
Entity
Organization

Contact information

Practice address
370 AVE SAN CLAUDIO, URB. SAGRADO CORAZON, SAN JUAN, PR 00926-4107
(787) 761-5193
(787) 755-4902
Mailing address
352 AVE SAN CLAUDIO STE 199, URB. SAGRADO CORAZON, SAN JUAN, PR 00926-4107
(787) 761-5193
(787) 755-4902

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
496
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
050726
LA CRUZ AZUL DE PR
01
31220
TRIPLE S, INC
01
400134
UNION INDEPENDIENTE TRABA
01
7726
INTERNATIONAL MEDICAL CAR
01
9260064
HUMANA HEALTH PLANS, INC
01
LB00496
UNION INDEPENDIENTE AUTEN
Enumeration date
07/19/2005
Last updated
04/20/2008
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