Organization
LABORATORIO CLINICO SORAM, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAMON A SOLIVAN MIRANDA M.D. (PRESIDENT)
(787) 825-1184
Entity
Organization
Contact information
Practice address
MARIO BRASCHI 1, COAMO, PR 00769-1866
(787) 825-1184
(787) 825-1184
Mailing address
CALLE MARIO BRASCHI 1, COAMO, PR 00769-1866
(787) 825-1184
(787) 825-1184
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
271
PR
Other
Enumeration date
10/19/2006
Last updated
03/19/2008
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