Organization
ENID HAYDEE ACEVEDO QUINONES
Active
Organization
ENID HAYDEE ACEVEDO QUINONES
Active
Other names
LABORATORIO CLINICO GENESIS
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ENID ACEVEDO QUINONES (OWNER)
(787) 897-1636
Entity
Organization
Contact information
Practice address
CARR 111 KM 4.2, LARES, PR 00669
(787) 897-1636
Mailing address
PO BOX 1792, LARES, PR 00669-1792
(787) 897-1636
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
892
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011892
GLOBAL HEALTH CARE
PR
01
—
100150
CRUZ AZUL
PR
01
—
20024
PREFERRED MEDICARE CHOISE
PR
01
—
272535066
ASOCIACION DE MAESTROS
PR
01
—
31407
TRIPLE SSS, INC
PR
01
—
6690047
HUMANA
PR
01
—
800408
MMM
PR
01
—
9996
INTERNATIONAL MEDICAL CAR
PR
01
—
LA00612
PALIC
PR
Enumeration date
09/14/2006
Last updated
06/29/2016
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