Organization
LABORATORIO CLINICO DIVINO NINO, INC.
Active
Organization
LABORATORIO CLINICO DIVINO NINO, INC.
Active
Other names
Laboratorio clinico Divino Nino
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDALIZ AVILES M.T. (SUPERVISOR)
(787) 635-8154
Entity
Organization
Contact information
Practice address
BO. PLATA CARR. 420 KM 4.4, MOCA, PR 00676
(787) 551-7175
Mailing address
PO BOX 987, MOCA, PR 00676-0987
(787) 551-7175
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
1312
PR
Other
Enumeration date
06/02/2014
Last updated
06/02/2014
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