Organization
LABORATORIO CLINICO PLAZA CAYEY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDALEE MELENDEZ TORRES M.T. (GENERAL SUPERVISOR)
(787) 672-0339
Entity
Organization
Contact information
Practice address
CARR #1 KM. 55.2 SUITE 207, CARIBBEAN CINEMAS BUILDING PLAZA CAYEY, CAYEY, PR 00737
(787) 738-3838
Mailing address
Z5-4 15 ST., URB. TURABO GARDENS, CAGUAS, PR 00727
(787) 738-3838
(787) 738-3902
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
1188
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40D1079185
CLIA
PR
Enumeration date
05/29/2009
Last updated
05/29/2009
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