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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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