Organization
LABORATORIO CLINICO CAGUAS NORTE
Active
Other names
Angelo Mendez
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELO MENDEZ SR. (OWNER)
(787) 746-1665
Entity
Organization
Contact information
Practice address
URB PARADIS CALLE LOPEZ FLORES ESQ MUNOZ RIVERA, SUITE 3, CAGUAS, PR 00725
(787) 746-1665
(787) 746-1665
Mailing address
PO BOX 8323, CAGUAS, PR 00726
(787) 746-1665
(787) 746-1665
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
78
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CLIA ID
40D0658327
PR
Enumeration date
08/26/2008
Last updated
10/07/2008
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