Organization
PONCE CLINICAL LABORATORY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GRYCEL ROSADO M.T (LCDA / OWNER)
(787) 841-4846
Entity
Organization
Contact information
Practice address
609 TITO CASTRO AVE, SUITE 101, PONCE, PR 00716-0206
(787) 841-4846
(787) 841-5238
Mailing address
609 TITO CASTRO AVE, SUITE 101, PONCE, PR 00716-0206
(787) 841-4846
(787) 841-5238
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
273
PR
Other
Enumeration date
09/27/2013
Last updated
09/27/2013
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