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Organization

CLINICA YAGUEZ INC

Active
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Organization

CLINICA YAGUEZ INC

Active
Other names
LABORATORIO PAVIA HEALTH CLINIC ANASCO
Organization subpart
No

Provider details

NPI number
Authorized official
CARLOS I HUERTAS (FINANCE DIRECTOR)
(787) 832-8444
Entity
Organization

Contact information

Practice address
1 CARR 402 ZONA INDUSTRIAL, BO MARIAS, ANASCO, PR 00610-2017
(787) 832-8444
(787) 805-2840
Mailing address
PO BOX 698, MAYAGUEZ, PR 00681-0698
(787) 832-8444
(787) 805-2840

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
GI092A
GI092A
PR
Enumeration date
10/25/2019
Last updated
04/21/2020
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