Organization
LABORATORIO CLINICO OBYMAR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VANESSA HERNANDEZ MEDICAL TECHNOLOGY (MEDICAL TECHNOLOGY PORPIETARIA)
(787) 818-1325
Entity
Organization
Contact information
Practice address
CARRETERRA 420 KM 0.4 BARRIO VOLADORAS, MOCA, PR 00676
(787) 818-1325
(787) 818-1325
Mailing address
PO BOX 47, ISABELA, PR 00662-0047
(787) 818-1325
(787) 818-1325
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6606Z8944
CIGNA HEALTHCARE
—
Enumeration date
10/18/2006
Last updated
01/26/2015
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