Organization
LABORATORIO CLINICO BACTERIOLOGICO LARES INC
Active
Other names
Laboratorio Clinico Bacteriologico Lares Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MILAGROS J GONZALEZ MT (DIRECTOR)
(787) 897-2625
Entity
Organization
Contact information
Practice address
2 CALLE SAN JOSE STE 2, LARES, PR 00669-2431
(787) 897-2625
(787) 897-2625
Mailing address
PO BOX 156, LARES, PR 00669-0156
(787) 897-2625
(787) 897-2625
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
609
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7000009416
BILLER ID
PR
Enumeration date
08/18/2005
Last updated
08/26/2016
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