Organization
LABORATORIO CLINICO MAYAGUEZ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ENEIDA A MARTINEZ MT (OWNER)
(787) 274-0551
Entity
Organization
Contact information
Practice address
142 CALLE MAYAGUEZ, PEREZ MORRIS, SAN JUAN, PR 00917-5117
(787) 274-0551
(787) 274-0551
Mailing address
142 CALLE MAYAGUEZ, PEREZ MORRIS, SAN JUAN, PR 00917-5117
(787) 274-0551
(163) 073-3367
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
930
PR
Other
Enumeration date
03/04/2007
Last updated
07/10/2012
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