Organization
LABORATORIO EBENEZER LLC
Active
Other names
Laboratorio Ebenezer LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DAGMAR JOMARIE CORREA MS,MT (OWNER)
(787) 630-9149
Entity
Organization
Contact information
Practice address
BO MACANA CARR 132 KM 4.5, GUAYANILLA, PR 00656
(787) 630-9149
Mailing address
HC 1 BOX 6131, GUAYANILLA, PR 00656-9444
(787) 630-9149
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
08/06/2020
Last updated
08/06/2020
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