Individual
LISAMAR ROLON GUZMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
A10 CALLE 1, VILLA MATILDE, TOA ALTA, PR 00953
(787) 870-2200
Mailing address
A10 CALLE 1, VILLA MATILDE, TOA ALTA, PR 00953-2304
(787) 870-2200
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40D2113067
—
PR
Enumeration date
09/09/2016
Last updated
09/09/2016
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