Organization
LABORATORIO CLINICO NAZARRY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDGARDO L CUEVAS (ENCARGADO)
(787) 899-1483
Entity
Organization
Contact information
Practice address
CALLE 65 DE INTANTERIA #47, PLAZA DEL VALLE STE 006, LAJAS, PR 00667
(787) 899-1483
(787) 899-1483
Mailing address
HC 1 BOX 3401, ADJUNTAS, PR 00601-9535
(787) 899-1483
(787) 899-1483
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
335
HEALTH DEPT-1ST LOCATION
PR
01
—
440
HEALTH DEPT-2ND LOCATION
PR
Enumeration date
11/07/2005
Last updated
07/30/2021
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