Organization
LABORATORIO CLINICO Y DE REFERENCIA PUERTO DEL REY, LLC
Active
Organization
LABORATORIO CLINICO Y DE REFERENCIA PUERTO DEL REY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WANDA IVETTE AVILES (PRESIDENT)
(787) 534-7181
Entity
Organization
Contact information
Practice address
URB FAJARDO GARDENS, 696 CALLE CIPRES, FAJARDO, PR 00738
(787) 534-7181
Mailing address
PO BOX 1635, LUQUILLO, PR 00773-1635
(787) 534-7181
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
05/10/2019
Last updated
05/10/2019
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