Organization
LABORATORIO CLINICO HATO ARRIBA
Active
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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