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Organization

MUNICIPIO DE GUANICA

Active
Parent organization
MUNICIPIO DE GUANICA
Other names
Laboratorio Clinico Centro de Servicios de Salud de Guanica
Organization subpart
Yes

Provider details

NPI number
Legal business name
MUNICIPIO DE GUANICA
Authorized official
MR. MARTIN VARGAS (MAJOR)
(787) 821-2777
Entity
Organization

Contact information

Practice address
CARR. 116 KM 27.7, GUANICA, PR 00653
(787) 821-0402
(787) 821-0402
Mailing address
PO BOX 785, GUANICA, PR 00653-0785
(787) 821-0402
(787) 821-0402

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
1175
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1175
PUERTO RICO HEALTHCARE DEPARTMENT
PR
Enumeration date
12/16/2008
Last updated
12/16/2008
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