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Organization

UNIVERSITY PATHOLOGISTS, INC.

Active
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Organization

UNIVERSITY PATHOLOGISTS, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MANUEL A MARCIAL MD (PRESIDENT)
(787) 726-5484
Entity
Organization

Contact information

Practice address
COND MADRID 1760 LOIZA STREET, SUITE 204, SAN JUAN, PR 00911-1801
(787) 726-5486
(787) 268-4417
Mailing address
COND MADRID 1760 LOIZA STREET, SUITE #204, SAN JUAN, PR 00911-1801
(787) 726-5486
(787) 268-4417

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
121
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
067852
CRUZ AZUL PROVIDER #
PR
01
800078
MMM PROVIDER NUMBER
PR
01
81063
TRIPLE-S, INC. PROVIDER #
PR
01
9140009
HUMANA PROVIDER NUMBER
PR
Enumeration date
10/06/2005
Last updated
04/27/2010
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