Organization
LABORATORIO CLINICO JUANADINO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD CENTENO MT (OWNER)
(787) 260-3853
Entity
Organization
Contact information
Practice address
69 CALLE COMERCIO, JUANA DIAZ, PR 00795-1600
(787) 260-3853
(787) 260-3853
Mailing address
PO BOX 109, JUANA DIAZ, PR 00795-0109
(787) 260-3853
(787) 260-3853
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
462
PR
Other
Enumeration date
08/03/2010
Last updated
08/03/2010
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