Organization
ADRIAN N. VICENTY RIVERA
Active
Organization
ADRIAN N. VICENTY RIVERA
Active
Other names
Laboratorio Playa Puerto Real
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADRIAN VICENTY RIVERA M.T (SUPERVISOR(OWNER))
(787) 851-4501
Entity
Organization
Contact information
Practice address
CALLE 12 NUMERO 38, COMUNIDAD ELIZABETH BO. PUERTO REAL, CABO ROJO, PR 00623
(787) 851-4501
(787) 851-4501
Mailing address
P.O. BOX 799, HORMIGUEROS, PR 00660
(787) 851-4501
(787) 851-4501
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
1171
PR
Other
Enumeration date
12/09/2008
Last updated
09/03/2009
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