Organization
NANCY WILLIAMS MALTES PSC
Active
Other names
LABORATORIO CLINICO WILLIAMS
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY WILLIAMS M.T. (PRESIDENT)
(787) 848-0405
Entity
Organization
Contact information
Practice address
1128 AVE MUNOZ RIVERA, RPTO. UNIVERSITARIO, PONCE, PR 00717-0643
(787) 848-0405
(787) 290-3535
Mailing address
PO BOX 10038, PONCE, PR 00732-0038
(787) 848-0405
(787) 290-3535
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
704
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30579
SSS
PR
01
—
3099
IMC
PR
01
—
400305
PREFERRED HEALTH PLAN
—
01
—
660423616
HUMANA GOLD PLAN
PR
01
—
7310078
HUMANA
—
01
—
800218
MMM
—
Enumeration date
04/28/2014
Last updated
07/14/2022
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