Organization
ISRAEL ODIOT VAZQUEZ
Active
Other names
DBA LAB CLINICO JARDINES DE LOIZA
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ISRAEL ODIOT M.T. (OWNER)
(787) 876-6999
Entity
Organization
Contact information
Practice address
50 CALLE SAN PATRICIO, LOIZA, PR 00772-1740
(787) 876-6999
(787) 876-6999
Mailing address
PO BOX 502, LOIZA, PR 00772-0502
(787) 876-6999
(787) 876-6999
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
906
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
906
P.R. STATE LICENSE
PR
Enumeration date
02/01/2007
Last updated
10/14/2015
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