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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