Organization
GRUPO CLINICO DEL NORTE CSP
Active
Other names
Laboratorio Clinico San Vicente
Organization subpart
No
Provider details
NPI number
Authorized official
MILAGROS GONZALEZ BSMT ASCP (PRESIDENT SUPERVISOR)
(787) 807-2974
Entity
Organization
Contact information
Practice address
CALLE TULIO OTERO #8, VEGA BAJA, PR 00674
(787) 807-2974
(787) 807-2974
Mailing address
BOX 3244, MANATI, PR 00674
(787) 807-2974
(787) 807-2974
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
1072
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
800468
MMM
PR
Enumeration date
10/05/2006
Last updated
08/22/2020
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