Organization
PONCE CLINICAL LABORATORY, INC.
Active
Organization
PONCE CLINICAL LABORATORY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GRYCEL ROSADO SANTIAGO M.T. (OWNER)
(787) 841-4846
Entity
Organization
Contact information
Practice address
609 TITO CASTRO AVE, SUITE 101, PONCE, PR 00716
(787) 841-4846
(787) 841-4846
Mailing address
609 TITO CASTRO AVE, SUITE 101, PONCE, PR 00716
(787) 841-4846
(787) 841-4846
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
273
PR
Other
Enumeration date
02/09/2007
Last updated
02/12/2021
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