Organization
LAVORATORIO CLINICO SAN ANTONIO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHEILA BARRETO MT (MEDICAL TECHNOLOGIST)
(787) 612-7527
Entity
Organization
Contact information
Practice address
CARRETERA 411 KM 3.0, BARRIO JAGUEY, AGUADA, PR 00602-2628
(787) 612-7527
(787) 826-7662
Mailing address
35 VILLAS DE SOTOMAYOR, AGUADA, PUERTO RICO 00602
(787) 612-7527
(787) 826-7662
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
1265
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1265
LICENCIA PR
PR
01
—
40D2041381
CLIA
PR
Enumeration date
07/10/2012
Last updated
11/29/2012
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