Organization
LABORATORIO DEL SUENO DEL SURESTE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUAN C BUITRAGO M.D. (PRESIDENT)
(787) 864-7339
Entity
Organization
Contact information
Practice address
ASHFORD ST 128 SOUTH, ASHFORD MEDICAL PLAZA SUITE 101 B, GUAYAMA, PR 00785
(787) 864-7339
(787) 866-4486
Mailing address
PO BOX 1568, GUAYAMA, PR 00785-1568
(787) 864-7339
(787) 866-4486
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
9015
PR
Other
Enumeration date
05/06/2008
Last updated
05/06/2008
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