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Organization

GRISELLE E CARLO HIDALGO

Active
Other names
Laboratorio Clinico Dr. Basora
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. GRISELLE E CARLO MT (OWNER)
(787) 833-4065
Entity
Organization

Contact information

Practice address
24 CALLE DR BASORA N, MAYAGUEZ, PR 00680-4831
(787) 833-4065
(787) 805-6605
Mailing address
24 CALLE DR BASORA N, MAYAGUEZ, PR 00680-4831
(787) 833-4065
(787) 805-6605

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
432
PR

Other

Enumeration date
04/17/2007
Last updated
07/24/2008
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