Organization
LABORATORIO CLINICO SAGRADO CORAZON, INC
Active
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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