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Organization

LABORATORIO CLINICO PORTA DEL SOL, P.S.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MAX ORLANDO NIEVES-NIEVES M.T. (MEDICAL TECHNOLOGIST/PRESIDENT)
(787) 252-3167
Entity
Organization

Contact information

Practice address
BO. GUAYABO CARRETERA PR-115 KM 20.5, AGUADA, PR 00602-9739
(787) 252-3167
(787) 252-3167
Mailing address
HC 60 BOX 29241-11, AGUADA, PR 00602-9233
(787) 252-3167
(787) 252-3167

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
1190
PR

Other

Enumeration date
12/22/2008
Last updated
04/01/2014
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