Organization
LABORATORIO CLINICO EL VIVI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL RIVERA NATAL MD (OWNER)
(787) 879-5704
Entity
Organization
Contact information
Practice address
53 CALLE BETANCES, UTUADO, PR 00641-2859
(787) 894-2270
(787) 894-2270
Mailing address
PO BOX 9975, ARECIBO, PR 00613-9975
(787) 879-5704
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
509
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
509
LICENCIA DE SALUD
PR
Enumeration date
05/22/2008
Last updated
04/06/2015
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