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Organization

LABORATORIO CLINICO Y BACTERIOLOGICO DE DIEGO

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MELBA ENID MANZANO M.T. (ASCP) (OWNER-SUPERVISOR)
(787) 833-0470
Entity
Organization

Contact information

Practice address
CALLE DE DIEGO # 51 ESTE, MAYAGUEZ, PR 00680
(787) 833-0470
(787) 833-0470
Mailing address
PO BOX 7301, MAYAGUEZ, PR 00681-7301
(787) 833-0470
(787) 833-0470

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
304
PR

Other

Enumeration date
11/16/2005
Last updated
08/22/2020
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