Organization
SAN JUAN MEDICAL LABORATORY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PEDRO JAIME BEAUCHAMP II M.D. (OWNER)
(787) 722-5636
Entity
Organization
Contact information
Practice address
150 AVE DE DIEGO, EDIFICIO SAN JUAN HEALTH CENTRE, SAN JUAN, PR 00907-2300
(787) 722-5636
(787) 722-5637
Mailing address
M3 CALLE CLAVEL, PARQUES DE SANTA MARIA, SAN JUAN, PR 00927-6738
(787) 722-5636
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
710
PR
Other
Enumeration date
08/21/2006
Last updated
08/22/2020
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