Organization
LABORATORIO CLINICO VEGA ALTA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OMAR A CANCEL (ADMINISTRATOR)
(787) 883-3765
Entity
Organization
Contact information
Practice address
54 CALLE COLON, VEGA ALTA, PR 00692-7074
(787) 883-3765
(787) 270-2337
Mailing address
54 CALLE COLON, VEGA ALTA, PR 00692-7074
(787) 883-3765
(787) 270-2337
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
458
PR
Other
Enumeration date
01/30/2007
Last updated
05/15/2014
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