Organization
LABORATORIO CLINICO FAGOT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOHANNA MARIE PEREZ BSMT (MEDICAL TECHNOLOGIST/OWNER)
(787) 843-7555
Entity
Organization
Contact information
Practice address
2929 AVE EMILIO FAGOT, PONCE, PR 00716-3613
(787) 843-7555
(787) 290-0621
Mailing address
2929 AVE EMILIO FAGOT, PONCE, PR 00716-3613
(787) 843-7555
(787) 290-0621
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
621
PR
Other
Enumeration date
03/15/2006
Last updated
08/22/2020
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