Individual
MS. CARMEN CERMIRA RIVERA MARCANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA NT ASCP
Contact information
Practice address
MUNOZ RIVERA ST 5 SUR, SAN LORENZO, PR 00754
(787) 548-5816
Mailing address
MUNOZ RIVERA ST 5 SUR, LABORATORIO LICER, SAN LORENZO, PR 00754
(787) 736-2951
(787) 715-0170
Taxonomy
Speciality
Code
Description
License number
State
246RM2200X
Medical Laboratory Technician
1095
PR
246Z00000X
Other Specialist/Technologist
1095
PR
291U00000X
Clinical Medical Laboratory
Primary
1095
PR
Other
Enumeration date
09/15/2005
Last updated
11/14/2013
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