Organization
LABORATORIO CLINICO FAMILIAR INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUAY CHIING SANG PONS-CHEZ M.T. (SUPERVISOR)
(787) 273-0335
Entity
Organization
Contact information
Practice address
862 AVE SAN PATRICIO, LAS LOMAS, SAN JUAN, PR 00921-1308
(787) 273-0335
(787) 793-6538
Mailing address
862 AVE SAN PATRICIO, LAS LOMAS, SAN JUAN, PR 00921-1308
(787) 273-0335
(787) 793-6538
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
732
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30816
SSS PROVIDER NUMBER
PR
01
—
800029
MMM PROVIDER NUMBER
PR
Enumeration date
04/18/2006
Last updated
08/22/2020
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