Organization
HEALTH LABORATORIES SERVICES INC
Active
Other names
LABORATORIO CLINICO SAN MIGUEL
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MYRTA LOPEZ DE VICTORIA (PRESIDENT)
(787) 762-4786
Entity
Organization
Contact information
Practice address
PLAZA SAN MIGUEL LOCAL 203 2DO PISO, EXPRESO TRUJILLO ALTO KM. 4.4, TRUJILLO ALTO, PR 00976
(787) 283-3881
(787) 283-3881
Mailing address
PO BOX 3310, CAROLINA, PR 00984-3310
(787) 762-4786
(787) 752-3360
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
1024
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
048755405
COSVI PROV #
PR
01
—
052230
CRUZ AZUL PROV #
PR
01
—
20097
AMERICAN HEALTH PROV #
PR
01
—
20115D
PMC PROV #
PR
01
—
30932SA
TRIPLE S PROV #
PR
01
—
400474
UTI PREFERRED PROV #
PR
01
—
40411
MCS EXCLUSIVE PROV #
PR
01
—
660487506
COSVI MED PROV #
PR
01
—
800062
MMM HEALTHCARE PROV #
PR
01
—
8462
IMC PROV #
PR
01
—
9760037
HUMANA PROV #
PR
01
—
LA-0519
PALIC PROV #
PR
Enumeration date
02/23/2007
Last updated
08/06/2010
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