Organization
ALTA MONTE CLINICAL LABORATORY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDGARDO NIEVES (OWNER)
(787) 449-4424
Entity
Organization
Contact information
Practice address
CARR. #119 KM 25.0, SAN SEBASTIAN, PR 00658
(787) 449-4424
Mailing address
CARR. #119 KM 25.0, SAN SEBASTIAN, PR 00658
(787) 449-4424
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
1159
PR
Other
Enumeration date
08/21/2008
Last updated
08/21/2008
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