Organization
LABORATORIO CLINICO VALENCIANO DEL ESTE, INC.
Active
Other names
LABORATORIO CLINICO VALENCIANO I
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VICTOR M PEREZ (SECRETARY / TREASURER)
(787) 713-0922
Entity
Organization
Contact information
Practice address
CARR 31 KM 24 JUNCOS PLAZA, LABORATORIO CLINICO VALENCIANO D 3, JUNCOS, PR 00777
(787) 713-0922
(787) 713-0922
Mailing address
243 URB LA SERRANIA, CALLE AZUCENA, CAGUAS, PR 00725-1808
(787) 653-8774
(787) 713-0922
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
1047
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31623
MEDICARE ID
PR
01
—
40D0995540
CMS, CLIA
PR
Enumeration date
05/26/2006
Last updated
01/10/2014
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