Organization
LABORATORIO EBENEZER LLC
Active
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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