Organization
JOSE A MAIZ DEDOS
Active
Other names
MAIZ CLINICAL LABORATORY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSE A MAIZ DEDOS M.T. (OWNER)
(787) 837-7600
Entity
Organization
Contact information
Practice address
CARR. # 1 KM. 114.5 BO CINTRONA SECTOR SINGAPUR, JUANA DIAZ, PR 00795-9614
(787) 837-7600
(787) 837-7600
Mailing address
HC 02 BOX 10001, JUANA DIAZ, PR 00795-9614
(787) 837-7600
(787) 837-7600
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
1193
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C722
INTERNATIONAL MEDICAL CARD
PR
Enumeration date
07/07/2009
Last updated
02/17/2010
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