Organization
MARIA TERESA NIEVES RODRIGUEZ
Active
Other names
Laboratorio Clinico Juana Diaz
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIA TERESA NIEVES BS (MEDICAL TECHNOLOGIST OWNER)
(787) 837-6420
Entity
Organization
Contact information
Practice address
609 AVE TITO CASTRO, ST 102 PMB 353, PONCE, PR 00716-0200
(787) 837-6420
(787) 260-0570
Mailing address
CALLE LA CRUZ #3, SUITE 101, JUANA DIAZ, PR 00795
(787) 837-6420
(787) 260-0570
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
1063
PR
291U00000X
Clinical Medical Laboratory
40D1003673
PR
Other
Enumeration date
08/10/2006
Last updated
06/30/2008
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