Organization
MARIA DE L OURDES PITRE CUEVAS
Active
Other names
LABORATORIO CLINICO DOMINQUITO
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIA DE L. PITRE M.T. (MEDICAL TECHNOLOGIST)
(787) 878-5324
Entity
Organization
Contact information
Practice address
CARR. 635 KM 2.4, BO. DOMINGUITO, ARECIBO, PR 00612
(787) 878-5324
(787) 878-5324
Mailing address
PO BOX 9764, COTTO STATION, ARECIBO, PR 00613-9764
(787) 878-5324
(787) 878-5324
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
826
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40D0666529
CLIA
PR
Enumeration date
09/28/2006
Last updated
07/29/2008
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