Organization
RIVERA-REVILLA LAB LLC
Active
Other names
Laboratorio Clinico Yenimaris
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. YENIRMA RIVERA (PRESIDENT)
(787) 768-3400
Entity
Organization
Contact information
Practice address
PLAZA GUZMAN AVE 65 INS KM 11.0, CAROLINA, PR 00985
(787) 691-9595
Mailing address
MANS DE CAROLINA MARQUESA ST, #GG-6, CAROLINA, PR 00987
(787) 768-3400
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
1293
PR
Other
Enumeration date
12/12/2012
Last updated
11/20/2013
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