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Organization

TEJAV SANTURCE LAB SERVICES, INC.

Active
Other names
Laboratorio Clinico Tejav
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. TERESITA ORTIZ M.T. (LABORATORY DIRECTOR PRESIDENT)
(787) 763-3545
Entity
Organization

Contact information

Practice address
1427 AVE FERNANDEZ JUNCOS, SAN JUAN, PR 00909-2658
(787) 763-3545
(787) 724-0545
Mailing address
PO BOX 360632, SAN JUAN, PR 00936-0632
(787) 763-3545
(787) 724-0545

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
00910
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00910
HEALTH DEPARTMENT
PR
01
31573
SSS
PR
01
400166
PREFERED HEALTH
PR
01
40D0922572
CLIA
01
51238
CRUZ AZUL
PR
01
9270028
HUMANA
PR
01
B634
IMC
PR
01
LA-0267
PALIC
PR
Enumeration date
11/01/2006
Last updated
12/15/2009
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