Organization
CARMEN RIVERA MARCANO
Active
Other names
Laboratorio Clinico Licer
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MANUEL ALBERTO GUEVARA (ADMINISTRATOR)
(787) 599-0526
Entity
Organization
Contact information
Practice address
F-4 AVE DEGETAU BONNEVILLE TERRACE, CAGUAS, PR 00725-0000
(787) 743-0166
(787) 715-0170
Mailing address
120 AVE. LAS SIERRAS, 65, SAN JUAN, PR 00926-0000
(787) 743-0166
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
09/06/2013
Last updated
09/06/2013
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