Organization
DAVID VELAZQUEZ CAMARENA LABORATORIO CLINICO DAJAOS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIA I PRADOS MT (DIRECTOR)
(787) 730-1195
Entity
Organization
Contact information
Practice address
CARR 167 # KM11.0, BO. DAJAOS, BAYAMON, PR 00956-9212
(787) 730-1195
(787) 730-1195
Mailing address
PO BOX 1815, BAYAMON, PR 00960-1815
(787) 786-6209
(787) 269-1378
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
616
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0031290
MEDICARE PROVIDER
PR
Enumeration date
02/07/2006
Last updated
10/03/2013
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