Organization
FAUSTINO F DEGRO
Active
Other names
DEGMAR CLINICAL LAB
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LOURDES MARTINEZ MT (LABORATORY DIRECTOR)
(787) 844-6410
Entity
Organization
Contact information
Practice address
8104 CALLE CONCORDIA, SUITE #1, PONCE, PR 00717-1541
(787) 844-6410
(787) 840-6168
Mailing address
PO BOX 331651, PONCE, PR 00733-1651
(787) 844-6410
(787) 840-6168
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
450
PR
Other
Enumeration date
10/16/2006
Last updated
08/25/2008
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