Organization
LABORATORIO CLINICO ESMERALDA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS NELLY E ACEVEDO M.T. (DIRECTOR)
(787) 720-6943
Entity
Organization
Contact information
Practice address
207 AVE ESMERALDA, PONCE DE LEON, GUAYNABO, PR 00969-4448
(787) 720-6943
(787) 790-7060
Mailing address
207 AVE ESMERALDA, PONCE DE LEON, GUAYNABO, PR 00969-4448
(787) 720-6943
(787) 790-7060
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
386
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30332
SSS PROVIDER NUMBER
PR
Enumeration date
01/11/2006
Last updated
12/10/2007
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