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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