Organization
INTEGRATE COMMUNITY HEALTH SYSTEM
Active
Other names
Metro Pavia Clinic Luquillo
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA LOPEZ (VP SENIOR)
(787) 230-7530
Entity
Organization
Contact information
Practice address
CARR 3 KM 32.0 INTERIOR BO MAMEYES, LAQUILLO, PR 00773
(787) 230-7530
(787) 230-7635
Mailing address
400 CALLE CALAF PMB 455, SAN JUAN, PR 00918-1314
(787) 230-7530
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
06/30/2020
Last updated
06/30/2020
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