Organization
LABORATORIO VASCULAR CLINICO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GUILLERMO ACARON SOUFFRONT MD (MEDICAL DIRECTOR)
(787) 758-7500
Entity
Organization
Contact information
Practice address
716 PONCE DE LEON AVE., HATO REY, PR 00918-4510
(787) 758-7500
(787) 758-0975
Mailing address
PO BOX 194478, SAN JUAN, PR 00919-4814
(787) 758-7500
(787) 758-0975
Taxonomy
Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
Primary
—
PR
Other
Enumeration date
07/07/2005
Last updated
07/21/2022
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