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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