Organization
MARIBEL DIAZ RUIZ LABORATORY SERVICES INC.
Active
Other names
Laboratorio Universal
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MARIBEL DIAZ M.T. (PRESIDENT CEO)
(787) 758-3220
Entity
Organization
Contact information
Practice address
513 AVE HOSTOS, BALDRICH, SAN JUAN, PR 00918-3235
(787) 758-3220
(787) 758-3203
Mailing address
PO BOX 190849, SAN JUAN, PR 00919-0849
(787) 758-3220
(787) 758-3203
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
1085
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0020284
PMC
PR
01
—
100660
LA CRUZ AZUL DE PR
PR
01
—
31454
SSS, TRIPLE S
PR
01
—
P981
IMC
PR
Enumeration date
02/07/2007
Last updated
09/13/2012
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