Organization
LABORATORIO CLINICO BOQUERON INC
Active
Other names
LABORATORIO CLINICO BOQUERON INC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARIA DE LOS ANGELES OCASIO M.T. (PRESIDENT)
(787) 254-2550
Entity
Organization
Contact information
Practice address
CALLE LUIS MUNOZ RIVERA #63, BOQUERON, PR 00622
(787) 254-2550
(787) 254-2550
Mailing address
PO BOX 323, BOQUERON, PR 00622-0323
(787) 254-2550
(787) 254-2550
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
803
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40D0658031
CLIA
PR
Enumeration date
10/05/2005
Last updated
08/09/2013
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