Organization
LABORATORIO CLINICO EL CONQUISTADOR I INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WANDA DAMARIS GONZALEZ (PRESIDENT)
(787) 646-4608
Entity
Organization
Contact information
Practice address
CENTRO COMERCIAL EL CONQUISTADOR PLAZA COURT, CARR. 190, KM 0.7, MARGINAL BALDORIOTY DE CASTRO, CAROLINA, PR 00985
(787) 752-2228
(787) 752-2715
Mailing address
CALLE CASTELLON 734 UBANIZACION VISTAMAR, CAROLINA, PUERTO RICO 00983
(787) 646-4608
(787) 888-4774
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
1145
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1145
HEALTH DEPARTMENT
—
Enumeration date
01/09/2008
Last updated
03/12/2008
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