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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