Organization
LA VIDA MEDICAL GROUP HATILLO CORP
Active
Organization
LA VIDA MEDICAL GROUP HATILLO CORP
Active
Other names
LABORATORIO CLINICO LOS ANGELES MEDICAL GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANA I MATOS (BILLING MANAGER)
(787) 880-2363
Entity
Organization
Contact information
Practice address
549 CALLE DEL MAR, SUITE 302, HATILLO, PR 00659-2869
(787) 880-2363
(787) 881-4312
Mailing address
549 CALLE DEL MAR, SUITE 302, HATILLO, PR 00659-2869
(787) 880-2363
(787) 881-4312
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
03/14/2008
Last updated
05/16/2008
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