Organization
LABORATORIO CLINICO BRUMBAUGH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIA ISABEL NIDO M.T. (PRESIDENT)
(787) 763-5015
Entity
Organization
Contact information
Practice address
STREET PINERO #80, SAN JUAN, PR 00925
(787) 763-5015
(787) 766-3251
Mailing address
STREET # 1 C-1, SAN IGNACIO PARK, SAN JUAN, PR 00921
(787) 763-5015
(787) 766-3251
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
367
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0030499
SSS
PR
01
—
800014
MMM
PR
Enumeration date
04/26/2006
Last updated
01/15/2020
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