Organization
TRIXYMAR INC
Active
Other names
Laboratorio Clinico y Bacteriologico Trixymar
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LUIS DIAZ-VEGA SR. (ADMINISTRADOR)
(787) 861-1111
Entity
Organization
Contact information
Practice address
17 CALLE LUIS MUNOZ RIVERA, MAUNABO, PR 00707-2147
(787) 861-1111
(787) 861-4444
Mailing address
PO BOX 97, MAUNABO, PR 00707-0097
(787) 861-1111
(787) 861-4444
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
1230
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
EL541A
MEDICARE ID
PR
Enumeration date
06/20/2008
Last updated
06/28/2021
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