Organization
LABORATORIO CLINICO PRINCIPAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROSEANNE MARIE AMADO (ADMINISTRATOR)
(783) 960-0372
Entity
Organization
Contact information
Practice address
BB26 AVE SANTA JUANITA, BAYAMON, PR 00956-4695
(787) 780-5120
(787) 780-8285
Mailing address
PO BOX 1528, BAYAMON, PR 00960-1528
(787) 780-5120
(787) 780-8285
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
332
PR
291U00000X
Clinical Medical Laboratory
—
PR
Other
Enumeration date
10/17/2005
Last updated
08/22/2020
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