Organization
PR PROFESSIONAL LABORATORY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID ACEVEDO MD (VP)
(787) 653-5151
Entity
Organization
Contact information
Practice address
NUM 2A CALLE DEGETAU ESQ CALLE 1, URB EXT EL VERDE, CAGUAS, PR 00725
(787) 653-5151
Mailing address
PO BOX 4952, PMB 071, CAGUAS, PR 00726
(787) 653-5151
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
09/18/2012
Last updated
09/18/2012
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