Organization
EDGARDO ROMAN
Active
Organization
EDGARDO ROMAN
Active
Other names
Laboratorio Clinico Lagos de Plata
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BRENDA LIZ VAZQUEZ BOLORIN MT (MEDICAL TECNOLOGIST)
(787) 261-3100
Entity
Organization
Contact information
Practice address
10 DR ALVAREZ CHANCA STREET, ESQ AVE SABANA SECA, TOA BAJA, PR 00949
(787) 995-4912
(787) 261-3113
Mailing address
M5 QUINTAS DEL RIO, CAMINO DEL HOSTAL, BAYAMON, PR 00961
(787) 261-3100
(787) 261-3113
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
5715
PR
Other
Enumeration date
12/21/2006
Last updated
02/09/2015
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