Organization
LABORATORIO CLINICO TIAGO INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LIZBETH DIAZ MT (PRESIDENT)
(787) 859-1823
Entity
Organization
Contact information
Practice address
URB. SAN FELIZ, CALLE 1 NUM A-2, COROZAL, PR 00783
(787) 859-1823
(787) 859-1823
Mailing address
RR 2 BOX 5634, TOA ALTA, PR 00953-8956
(787) 859-1823
(787) 859-1823
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
1253
PR
Other
Enumeration date
04/10/2012
Last updated
06/19/2012
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