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Organization

LABORATORIO CLINICO FAIR VIEW CSP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. LUIS ORTEGA VERGE (OWNER AND ADMINISTRATOR)
(787) 292-8789
Entity
Organization

Contact information

Practice address
CARRETERA 845 KM 3.3, CENTRO COMERCIAL FAIRVIEW SUITE 7, TRUJILLO ALTO, PR 00976
(787) 292-8789
(787) 292-8757
Mailing address
EL SENORIAL MAIL STATION, MSC 779, SAN JUAN, PR 00926-6023
(787) 292-8789
(787) 292-8757

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
1051
PR

Other

Enumeration date
10/24/2006
Last updated
06/29/2016
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