Organization
LABORATORIO CLINICO LORIMAR
Active
Other names
JORGE L MENDEZ COLON
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORGE L MENDEZ M.D (OWNER)
(787) 877-7700
Entity
Organization
Contact information
Practice address
31 CALLE PROGRESO, AGUADILLA, PR 00603-5016
(787) 882-7679
(787) 882-7679
Mailing address
PO BOX 388, MOCA, PR 00676
(787) 882-7679
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
901
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
052219
CRUZ AZUL
PR
01
—
31221
TRIPLE SSS
PR
01
—
9164
FIRST MEDICAL
PR
Enumeration date
05/14/2007
Last updated
06/19/2013
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