Organization
LABORATORIO CLINICO DEL SURESTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YANIRE CASTRO-TORRES MT (GENERAL SUPERVISOR)
(787) 893-2595
Entity
Organization
Contact information
Practice address
34 CALLE LUIS MUNOZ RIVERA, YABUCOA, PR 00767-3110
(787) 893-2595
(787) 893-2716
Mailing address
PO BOX 1340, YABUCOA, PR 00767-1340
(787) 893-2595
(787) 893-2716
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
216
PR
291U00000X
Clinical Medical Laboratory
569
PR
Other
Enumeration date
01/12/2007
Last updated
08/22/2020
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