Organization
JEANNETTE S. TROCHE
Active
Organization
JEANNETTE S. TROCHE
Active
Other names
Laboratorio Clinico La Monserrate
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNETTE SARAHI TROCHE M.T. (OWNER)
(787) 378-0653
Entity
Organization
Contact information
Practice address
345 CALLE RAMON EMETERIO BETANCES, MAYAGUEZ, PR 00680
(787) 378-0653
Mailing address
PO BOX 1338, HORMIGUEROS, PR 00660-5338
(787) 378-0653
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
1280
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40D2054127
CLIA ID NUMBER
PR
Enumeration date
05/15/2013
Last updated
05/15/2013
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