Organization
MARICARMEN SANTOS MIRANDA
Active
Organization
MARICARMEN SANTOS MIRANDA
Active
Other names
LABORATORIO CLINICO CENTRAL
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARICARMEN SANTOS MIRANDA M.T. (SUPERVISOR, OWNER)
(787) 894-1145
Entity
Organization
Contact information
Practice address
CALLE TOMAS JORDAN 5, UTUADO, PR 00641
(787) 894-1145
(787) 894-1145
Mailing address
CALLE TOMAS JORDAN 5, UTUADO, PR 00641
(787) 894-1145
(787) 894-1145
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
573
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31113
SSS
PR
Enumeration date
11/30/2005
Last updated
02/27/2008
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