Organization
LABORATORIO CLINICO HATO ARRIBA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MAGDALENA CRUZ MEDICAL TECHNOLOGY (GENERAL SUPERVISOR OWNER)
(787) 280-3085
Entity
Organization
Contact information
Practice address
CARRETERA 111 KM 14 5, PLAZA HATO ARRIBA, SAN SEBASTIAN, PR 00685-7003
(787) 280-3085
(787) 280-3085
Mailing address
PO BOX 3175, HATO ARRIBA STATION, SAN SEBASTIAN, PR 00685-7003
(787) 280-3085
(787) 280-3085
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
1017
PR
291U00000X
Clinical Medical Laboratory
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
052084
CRUZ AZUL
PR
01
—
20025
PREFERRED MEDICARE CHOICE
PR
01
—
20223
AMERICAN HEALTH
PR
01
—
30902
TRIPLE S
PR
01
—
32053
PROSSAM
PR
01
—
400566
PREFERRED HEALTH
PR
01
—
6850032
HUMANA INSURANCE
PR
01
—
800330
MMM HEALTHCARE
PR
01
—
LA0515
PALIC NETWORD
PR
Enumeration date
08/22/2006
Last updated
08/12/2020
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