Organization
LABORATORIO CLINICO ELENA LLC
Active
Other names
Laboratorio Clinico Elena LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA E RODRIGUEZ MEDICAL TECHNOLOGY (ADMINISTRATOR)
(787) 696-9146
Entity
Organization
Contact information
Practice address
AVE PADRE NOEL ESQ HOSTOS NUM 33, PONCE, PR 00716-1324
(787) 651-6058
(787) 651-6059
Mailing address
TABAIBA TOWER APARTMENTS 259, CALLE CAGUANA APT. 104, PONCE, PR 00716-1324
(787) 651-6059
Taxonomy
Speciality
Code
Description
License number
State
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary
—
—
Other
Enumeration date
10/07/2021
Last updated
10/07/2021
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