Organization
LABORATORIO CLINICO OTOAO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOHANNA NIEVES (OWNER)
(787) 310-3018
Entity
Organization
Contact information
Practice address
CARRETERA # 111, KM. 2.9, VIVI ABAJO,, UTUADO, PR 00641
(787) 310-3018
Mailing address
PO BOX 1464, UTUADO, PR 00641-1464
(787) 310-3018
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
09/01/2020
Last updated
09/01/2020
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