Organization
TEJAV SANTURCE LAB SERVICES, INC.
Active
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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