Organization
MARIA L CRESPO
Active
Other names
Laboratorio Clinico Bacteriologico San Antonio
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARIA L CRESPO MTASCP (LABORATORY DIRECTOR)
(787) 890-6161
Entity
Organization
Contact information
Practice address
1065 AVE GENERAL RAMEY, SUITE 1, SAN ANTONIO, PR 00690-1117
(787) 890-6161
(787) 890-6161
Mailing address
PO BOX 791, SAN ANTONIO, PR 00690-0791
(787) 890-6161
(787) 890-6161
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
761
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0152
INTERNATIONAL MEDCAL CARD
PR
01
—
051502
BLUE CROSS
PR
01
—
20161
PREFERRED MEDICARE CHOCE
PR
01
—
30731
SSS
PR
01
—
40D0711458
CLIA
PR
01
—
5599
AMERICAN HEALTH MEDICARE
PR
01
—
6030045
HUMANA HEALTH/ INS
PR
01
—
800386
MMM
PR
01
—
A0170
FIRST PLUS
PR
01
—
LA0179
PAN AMERICAN LIFE
PR
Enumeration date
07/08/2006
Last updated
07/01/2008
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