Individual
OMAR JAVIER GONZALEZ LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LABOTARORIO CARMAR
Contact information
Practice address
54 CALLE CARRION MADURO SUR, CAYEY, PR 00736-0073
(787) 738-9595
(787) 738-1414
Mailing address
PO BOX 372140, CAYEY, PR 00737-2140
(787) 738-9595
(787) 738-1414
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
451
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1023139052
NPI
—
Enumeration date
04/26/2019
Last updated
04/27/2019
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