Organization
LABORATORIO CLINICO PLAZA CAROLINA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDGARDO GENARO PINEIRO SR. MD (SECRETARY (OWNER))
(787) 616-7253
Entity
Organization
Contact information
Practice address
AVE. FRAGOSO & EXPRESO LOIZA, OFFICE #12 3ER NIVEL PLAZA CAROLINA MALL, CAROLINA, PR 00988
(787) 768-0070
(787) 768-0070
Mailing address
PO BOX 9741, CAROLINA, PR 00988-9741
(787) 768-0070
(787) 768-0070
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
871
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31099
SSS
PR
01
—
800054
MMM
PR
Enumeration date
04/21/2006
Last updated
02/09/2024
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