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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