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Organization

UNIVERSIDAD DE PR RUM

Active
Other names
LABORATORIO
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOSE N PONCE SR. MSH (ADMINISTRATOR MEDICAL SERVICE)
(787) 832-4040
Entity
Organization

Contact information

Practice address
259 AVE BLVD ALFONSO VALDEZ, DEPTO SERVICIOS MEDICOS, MAYAGUEZ, PR 00681-9000
(787) 832-4040
(787) 834-1538
Mailing address
PO BOX 9000, MAYAGUEZ, PR 00681-9000
(787) 832-4040
(787) 834-1538

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
40D0684473
PR

Other

Enumeration date
07/12/2016
Last updated
07/12/2016
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