Organization
LABORATORIO AVANZADO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANA A CESPEDES MT (ADMINISTRATOR)
(787) 614-3865
Entity
Organization
Contact information
Practice address
100 GRAND PASEO BLVD STE 111, SAN JUAN, PR 00926
(787) 614-3865
Mailing address
206 CALLE COQUI PITITO, URB BOSQUES DE LA SIERRA, CAGUAS, PR 00725
(787) 614-3865
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
06/21/2018
Last updated
08/17/2018
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