Organization
DIAZ BONET INC
Active
Other names
Laboratorio Clinico Bonet Hernandez
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANELIE BONET LCDA (VICE PRESIDENT)
(787) 600-0321
Entity
Organization
Contact information
Practice address
CARR 2 KM 55.1, BO PALENQUE, BARCELONETA, PR 00617
(787) 600-0321
Mailing address
P O BOX 1173, FLORIDA, PR 00650-1173
(787) 600-0321
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HL231A
MEDICARE PTAN
PR
Enumeration date
01/18/2011
Last updated
12/12/2016
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