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Organization

LABORATORIO CLINICO ISLAMAR, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GERARDO ANTONIO HERNANDEZ PHD, MT (DIRECTOR)
(787) 685-0174
Entity
Organization

Contact information

Practice address
CARRETERA PR-3 INT. CARRETERA PR-178, CENTRO COMERCIAL COOPERATIVO MAUNACOOP, SUITE P-4, ARROYO, PR 00714
(787) 271-3636
Mailing address
PO BOX 2308, GUAYAMA, PR 00785
(787) 271-3636

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
40D2065068

Other

Enumeration date
10/24/2013
Last updated
10/24/2013
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