Organization
WILFREDO REYES LABRADOR
Active
Other names
LABORATORIO CLINICO WILMAR
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARITZA E GRAJALES BS-MT-ASCP (DIRECTOR)
(787) 667-1902
Entity
Organization
Contact information
Practice address
PISO 6, OFIC 312,, CAROLINA SHOPPING COURT, CAROLINA, PR 00985
(787) 757-1040
(787) 757-1040
Mailing address
PO BOX 3386, CAROLINA, PR 00984-3386
(787) 757-1040
(787) 757-1040
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
236
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1100105
HUMANA
PR
01
—
11236
GLOBAL HEALTH
PR
01
—
20024
AMERICAN HEALTH
PR
01
—
20408
PREFERRED MEDICARE CHOICE
PR
01
—
30955
MEDICARE OPTIMO
PR
01
—
400337
UTI- PREFFERED HEALTH
PR
01
—
51652
CRUZ AZUL
PR
01
—
6007449
ACAA
PR
01
—
800219
MEDICARE Y MUCHO MAS- MMM
PR
01
—
8397
FIRST MEDICAL- IMC
PR
01
—
ITIN
MCS & MCS REFORMA
PR
01
—
LA0351
PALIC-PANAMERICAN LIFE
PR
Enumeration date
01/31/2006
Last updated
07/29/2008
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