Organization
VISALMARY CLINICAL LABORATORY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JESUS A DIAZ LCDO (OWNER)
17878162251
Entity
Organization
Contact information
Practice address
CARR.638 KM 6.0, BO.MIRAFLORES, ARECIBO, PR 00616
(178) 781-6225
(787) 816-2414
Mailing address
PO BOX 30000, PMB 8001, SABANA HOYOS, PR 00688-8001
(178) 781-6225
(787) 816-2414
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
998
PR
Other
Enumeration date
04/02/2007
Last updated
07/28/2008
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