Organization
LABORATORIO ANGEL JELLY GOYCO
Active
Other names
Laboratorio Angel Jelly Goyco
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS E SEGARRA M.T. (OWNER)
(787) 833-6020
Entity
Organization
Contact information
Practice address
22 N CALLE DR BASORA, MAYAGUEZ, PR 00680-0001
(787) 833-6020
(787) 833-6020
Mailing address
PO BOX 3070, MAYAGUEZ, PR 00681-3070
(787) 833-6020
(787) 833-6020
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
469
PR
Other
Enumeration date
03/22/2006
Last updated
04/07/2014
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