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Organization

LABORATORIO CLINICO JARDINES II

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EDWIN W VAZQUEZ (PRESIDENT)
(787) 752-9372
Entity
Organization

Contact information

Practice address
CARRETERRA 857 KM 0.4 CANOVANILLAS, CAROLINA, PR 00987
(787) 752-9375
(787) 946-0899
Mailing address
PO BOX 1965, CAROLINA, PR 00984-1965
(787) 752-9375
(787) 946-0899

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
1068
PR

Other

Enumeration date
10/07/2011
Last updated
10/07/2011
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