Organization
LABORATORIO CLINICO DEL PARQUE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS M HIRALDO TECNOLOGO MEDICO (DIRECTOR)
(787) 724-4161
Entity
Organization
Contact information
Practice address
352 CALLE DEL PARQUE, SAN JUAN, PR 00912-3702
(787) 724-4161
(787) 724-4161
Mailing address
PO BOX 41028, SAN JUAN, PR 00940-1028
(787) 724-4161
(787) 724-4161
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051667
LA CRUZ AZUL DE PUERTO RI
—
01
—
20137
AMERICAN HEALTH INC
—
01
—
400322
PREFERRED
—
01
—
660491943
AMERICAN HEALTH MEDICARE
—
01
—
800464
MMM HEALTHCARE
—
01
—
9090086
HUMANA HMO POS MEDICAL
—
01
—
LA037
PAN AMERICAN LIFE INS CO
—
Enumeration date
11/28/2006
Last updated
07/31/2008
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