Organization
LAVORATORIO CLINICO SAN ANTONIO INC
Active
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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