Organization
LABORATORIO CLINICO COAMO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHERINE DAVILA MD (PRESIDENT DIRECTOR)
(787) 803-0343
Entity
Organization
Contact information
Practice address
129 JOSE I QUINTON ST, COAMO, PR 00769-4188
(787) 803-0343
(787) 803-0343
Mailing address
PO BOX 2188, COAMO, PR 00769-4188
(787) 803-0343
(787) 803-0434
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
414
PR
Other
Enumeration date
04/07/2006
Last updated
08/18/2016
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