Organization
BETHZAIDA MATIAS LABORATORIO CLINICO TU SALUD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETHZAIDA MATIAS MT (OWNER/MEDICAL TECHNOLOGIST)
(787) 868-3884
Entity
Organization
Contact information
Practice address
CARR 417 KM 4.2, BO MAMEY, AGUADA, PR 00602
(787) 868-3884
(787) 868-3884
Mailing address
PO BOX 2023, AGUADA, PR 00602-2023
(787) 868-3884
(787) 868-3884
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
40D2007082
PR
Other
Enumeration date
10/13/2010
Last updated
10/13/2010
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