Organization
INTEGRATE COMMUNITY HEALTH SYSTEM, INC.
Active
Other names
Metro Pavia Clinic Aguadilla - Lab
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VIVIAN SOLIVAN (PRESIDENTA)
(787) 230-6530
Entity
Organization
Contact information
Practice address
BARRIO CAMASEYES, CARR 107, AGUADILLA, PR 00603
(787) 296-9778
Mailing address
400 CALLE CALAF, PMB 455, SAN JUAN, PR 00918-1314
(787) 230-7530
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
40D2126577
PR
Other
Enumeration date
11/17/2017
Last updated
11/17/2017
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