Organization
LABORATORIO VASCULAR NO INVASIVO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUAN E SURIS M.D. (CIRUJANO)
(787) 834-8030
Entity
Organization
Contact information
Practice address
MENDEZ VIGO 109 E, MAYAGUEZ, PR 00680
(787) 834-8030
Mailing address
PO BOX 3049, MARINA STATION, MAYAGUEZ, PR 00681-3049
(787) 834-8030
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
30725
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30725
MUNICIPAL PATENT
PR
Enumeration date
08/29/2006
Last updated
06/27/2008
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