Individual
FREDDY MAS VARGAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MT
Contact information
Practice address
ROAD 417 KM 3.0 BO. MALPASO, AGUADA, PR 00602
(787) 868-4453
(787) 868-0780
Mailing address
PO BOX 745, AGUADA, PR 00602-0745
(787) 868-4453
(787) 868-0780
Taxonomy
Speciality
Code
Description
License number
State
246QL0900X
Laboratory Management Specialist/Technologist
2977
PR
291U00000X
Clinical Medical Laboratory
Primary
878
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0031010
MEDICARE PIN
PR
05
—
037647400
—
PR
01
—
878
LABORATORIO CLINICO JERUSALEN
PR
Enumeration date
08/16/2005
Last updated
09/18/2024
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