Organization
FABRIEL HERMANOS CORPORATION
Active
Other names
LABORATORIO HERNANDEZ - LOPEZ
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LOURDES CORDERO M.T. (MEDICAL TECHNOLOGIST)
(787) 878-2780
Entity
Organization
Contact information
Practice address
172 RODRIGUEZ IRIZARRY, ARECIBO, PR 00612
(787) 878-2780
(787) 878-2780
Mailing address
PO BOX 141376, ARECIBO, PR 00614-1376
(787) 878-2780
(787) 878-2780
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
205
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0031423
PTAN
PR
Enumeration date
08/30/2006
Last updated
08/16/2011
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