Organization
LABORATORIO CLINICO ENSENADENO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELES M ACEVEDO BS MT ASCP (PRESIDENT)
(787) 821-3008
Entity
Organization
Contact information
Practice address
25B CALLE LAJAS, AVENIDA LOS VETERANOS, ENSENADA, PR 00647
(787) 821-3008
(787) 821-3008
Mailing address
PO BOX 133, ENSENADA, PR 00647-0133
(787) 821-3008
(787) 821-3008
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
583
PR
Other
Enumeration date
05/10/2007
Last updated
12/30/2015
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