Organization
LABORATORIO CLINICO MINILLAS CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WANDA IVELISSE ROMAN MA.ED. (PRESIDENT)
(787) 941-7264
Entity
Organization
Contact information
Practice address
MINILLAS CT, NM 14 SANTA JUANITA, BAYAMON, PR 00956-5359
(787) 269-5262
(787) 798-3853
Mailing address
NH31 CAMINO DE VELARDE, MANSION DEL NORTE, TOA BAJA, PR 00949-4839
(787) 784-7897
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
1260
PR
Other
Enumeration date
01/06/2011
Last updated
07/15/2022
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