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Organization

COREPLUS SERVICIOS CLINICOS Y PATOLOGICOS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MARIANO DE SOCARRAZ (PRESIDENT)
(305) 992-4811
Entity
Organization

Contact information

Practice address
AVENIDA SANCHEZ VILELLA ESQ. PR-190, SUITE 2-6, CAROLINA, PR 00983
(855) 711-2673
(855) 711-2673
Mailing address
PO BOX 3376, CAROLINA, PR 00984-3376
(855) 711-2673
(855) 711-2673

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
291U00000X
Clinical Medical Laboratory
1049
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1049
STATE LICENSE
PR
Enumeration date
08/11/2008
Last updated
12/10/2021
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