Organization
DOMENECH VASCULAR LABORATORY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE CARLOS COLON (ADMINISTRATIVE DIRECTOR)
(787) 250-7157
Entity
Organization
Contact information
Practice address
405A CALLE MONTILLA, URB PARQUE CENTRAL, SAN JUAN, PR 00918-2607
(787) 250-7157
Mailing address
405A CALLE MONTILLA, URB PARQUE CENTRAL, SAN JUAN, PR 00918-2607
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
02/13/2007
Last updated
08/22/2020
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