Organization
IVETTE C CRUZ CABRERA
Active
Other names
DBA LABORATORIO CLINICO DOMUS
Organization subpart
No
Provider details
NPI number
Authorized official
IVETTE C CRUZ CABRERA (OWNER)
(787) 544-0600
Entity
Organization
Contact information
Practice address
CARR 486 KM 1.9 BARRIO ZANJAS, CAMUY, PR 00627
(787) 544-0600
(787) 544-0600
Mailing address
PO BOX 479, CAMUY, PR 00627-0479
(787) 544-0600
(787) 544-0600
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
1273
PR
Other
Enumeration date
10/18/2012
Last updated
12/06/2012
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