Organization
LABORATORO CLINICO EXPRESO TRUJILLO ALTO INC
Active
Organization
LABORATORO CLINICO EXPRESO TRUJILLO ALTO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWIN CARDONA MT (PRESIDENT)
(787) 748-4102
Entity
Organization
Contact information
Practice address
G1B CALLE FRONTERA, URB. VILLA ANDALUCIA, SAN JUAN, PR 00926
(787) 748-2580
(787) 292-7966
Mailing address
1353 CARRETERA NO 19, PMB # 364, GUAYNABO, PR 00966
(787) 748-2580
(787) 292-7966
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
750
PR
Other
Enumeration date
12/27/2005
Last updated
09/09/2008
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