Organization
ROSA M. HEREDIA CASTILLO
Active
Other names
LABORATORIO CLINICO LECORD
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROSA M HEREDIA MT (DIRECTOR)
(787) 722-0341
Entity
Organization
Contact information
Practice address
260 AVE DE LA CONSTITUCION, SUITE 101, SAN JUAN, PR 00901-2298
(787) 722-0341
(787) 722-0341
Mailing address
PO BOX 367331, SAN JUAN, PR 00936-7331
(787) 722-0341
(787) 722-0341
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
768
PR
Other
Enumeration date
12/21/2006
Last updated
05/30/2012
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