Organization
LABORATORIO CENTRAL DE LEVITTOWN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS ANTONIO RAMOS MARRERO (PRESIDENTE)
(787) 784-5004
Entity
Organization
Contact information
Practice address
AVE BOULEVARD W9 LEVITTOWN, TOA BAJA, PR 00950-1510
(787) 784-5004
Mailing address
APT 51510 LEVITTWON, TOA BAJA, PR 00950-1510
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31456
SSS
PR
Enumeration date
09/25/2006
Last updated
08/22/2020
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