Organization
CENTRO DE DIAGNOSTICO Y TRATAMIENTO MPL COROZAL
Active
Parent organization
MEDICAL PHARMACY & LABORATORY ADMINISTRATIVE SERVICES CORP
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDICAL PHARMACY & LABORATORY ADMINISTRATIVE SERVICES CORP
Authorized official
DR. VICTOR R DIAZ (DIRECTOR EJECUTIVO)
(787) 707-1983
Entity
Organization
Contact information
Practice address
CALLE MARINA NUMERO 13, COROZAL, PR 00783
(787) 707-1983
(787) 706-8823
Mailing address
PO BOX 51991, TOA BAJA, PR 00950-1991
(787) 707-1983
(787) 706-8823
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207W00000X
Ophthalmology Physician
—
—
208000000X
Pediatrics Physician
—
—
208D00000X
General Practice Physician
—
—
Other
Enumeration date
01/21/2011
Last updated
01/21/2011
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