Organization
MANUEL A GONZALEZ MOLINA
Active
Other names
LABORATORIO CLINICO GRISELLE
Organization subpart
No
Provider details
NPI number
Authorized official
MANUEL A GONZALEZ MOLINA (OWER)
(787) 854-3202
Entity
Organization
Contact information
Practice address
URB VILLA MARIA CALLE 1 D2, MANATI, PR 00674
(787) 854-3202
(787) 884-3946
Mailing address
PO BOX 1249, MANATI, PR 00674-1249
(787) 854-3202
(787) 884-3946
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
567
PR
Other
Enumeration date
11/07/2005
Last updated
11/26/2012
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