Organization
ROSALINA ALICEA ORTIZ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROSALINA ALICEA MT MEDICAL TECHNOLOG (SUPERVISOR AND OWNER)
(787) 712-0455
Entity
Organization
Contact information
Practice address
CARR 181 KM 23, BARRIO CELADA, GURABO, PR 00778
(787) 712-0455
(787) 712-0455
Mailing address
1664 DAKOTA, SAN GERARDO, SAN JUAN, PR 00926
(787) 712-0455
(787) 712-0455
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CLIA#40D0972366
PR
Other
Enumeration date
11/16/2006
Last updated
02/04/2016
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