Organization
NANCY E WILLIAMS MALTES
Active
Organization
NANCY E WILLIAMS MALTES
Active
Other names
Laboratorio Clinico Williams
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY E WILLIAMS MALTES M.T. (DIRECTOR)
(787) 848-0405
Entity
Organization
Contact information
Practice address
1128 AVE MUNOZ RIVERA, PONCE, PR 00717-0643
(787) 848-0405
(787) 290-3535
Mailing address
PO BOX 10038, PONCE, PR 00732-0038
(787) 848-0405
(787) 290-3535
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
704
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051300
CRUZ AZUL
PR
01
—
30579
SSS
PR
01
—
3099
IMC
PR
01
—
39893
ASOCIACION DE MAESTROS
PR
01
—
400305
PREFERRED HEALTH PLAN
PR
01
—
583940508
MAPFRE
PR
01
—
660429616
FIRST PLUS ADVANCE
PR
01
—
7310078
HUMANA
PR
01
—
800218
MMM
PR
Enumeration date
11/14/2005
Last updated
09/22/2010
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