Organization
GUAYNABO HEALTH PROVIDERS, CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LILIANA MEDINA OTERO (PRESIDENT)
(787) 720-5050
Entity
Organization
Contact information
Practice address
140 AVE LAS CUMBRES, GUAYNABO MEDICAL MALL, GUAYNABO, PR 00969-5523
(787) 720-5050
(787) 720-4949
Mailing address
PMB 205 PO BOX 70344, SAN JUAN, PR 00936-8344
(787) 720-5050
(787) 720-4949
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
3
PR
Other
Enumeration date
12/12/2011
Last updated
12/12/2011
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