Organization
LABORATORIO CLINICO P CENTRO INC
Active
Other names
Laboratorio Clinico Plaza Centro
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DAMARIS DEFENDINI M.T. (PRESIDENT)
(787) 258-9052
Entity
Organization
Contact information
Practice address
233 AVE RAFAEL CORDERO, CAGUAS, PR 00725-3730
(787) 258-9052
Mailing address
233 AVE RAFAEL CORDERO STE 6, CAGUAS, PR 00725-3730
(787) 258-9052
(877) 779-7880
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
827
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3-0819
TRIPLE S
PR
01
—
6250101
HUMANA HEALTH INSURANCE
PR
01
—
LA0331
PALIC
PR
Enumeration date
03/03/2007
Last updated
03/16/2020
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