Organization
BAHIA MEDICAL LABORATORIES INC
Active
Parent organization
CIDRA MEDICAL LAB
Organization subpart
Yes
Provider details
NPI number
Legal business name
CIDRA MEDICAL LAB
Authorized official
MR. HECTOR SEPULVEDA (PRESIDENT)
(787) 275-8166
Entity
Organization
Contact information
Practice address
AVE. BARBOSA # 69, CATANO, PR 00962-4844
(787) 275-8166
Mailing address
AVE. BARBOSA # 69, CATANO, PR 00962-4844
(787) 275-8166
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
1197
PR
Other
Enumeration date
09/01/2009
Last updated
12/03/2009
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