Organization
LABORATORIO CLINICO AGUADENO
Active
Other names
LUZ M GONZALEZ
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LUZ M GONZALEZ MT (DIRECTOR)
17878687095
Entity
Organization
Contact information
Practice address
56 CALLE ESTACION, AGUADA, PR 00602-3231
(787) 868-7095
Mailing address
PO BOX 393, AGUADA, PR 00602-0393
(787) 868-7095
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
813
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40D0689954
CLIA NUMBER
PR
Enumeration date
11/02/2006
Last updated
12/10/2008
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