Organization
LABORATORIO CLINICO COLISEO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARTA M MALAVET (DIRECTOR)
(787) 842-4007
Entity
Organization
Contact information
Practice address
2525 AVE E RUBERTE, COLISEO SHOPPING CENTER SUITE 211, PONCE, PR 00728-1712
(787) 842-4007
(787) 841-7223
Mailing address
2525 AVE E RUBERTE, COLISEO SHOPPING CENTER SUITE 211, PONCE, PR 00728-1712
(787) 842-4007
(787) 841-7223
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
435
—
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050601
CRUZ AZUL
PR
01
—
2004
FIRST MEDICAL
PR
01
—
30288
SSS
PR
01
—
7320025
HUMANA HEALTH
PR
01
—
800116
M.M.M. HEALTHCARE
PR
Enumeration date
02/28/2006
Last updated
09/25/2019
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