Organization
WAXALI INC
Active
Parent organization
WAXALI INC
Other names
Laboratorio Clinico Isla Centro Naranjito
Organization subpart
Yes
Provider details
NPI number
Legal business name
WAXALI INC
Authorized official
MR. JOSE L COLLAZO ROSADO MT (PRESIDENT OWNER)
(787) 869-9585
Entity
Organization
Contact information
Practice address
# 43 CALLE IGNACIO MORALES ACOSTA, NARANJITO, PR 00719-8771
(787) 869-9585
(787) 869-0907
Mailing address
HC 72 BOX 3954, NARANJITO, PR 00719-8771
(787) 869-9585
(787) 869-0907
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
594
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40D0658159
CLIA
PR
01
—
594
STATE
PR
Enumeration date
10/13/2006
Last updated
04/11/2014
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