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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