Organization
ISRAEL ODIOT VAZQUEZ
Active
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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