Organization
MIGRANT HEALTH CENTER, WESTERN REGION INC.
Active
Other names
LABORATORIO CLINICO MIGRANT HEALTH CENTER, INC.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. REYNALDO SERRANO CARABALLO MR (DIRECTOR EJECUTIVO)
(787) 805-7360
Entity
Organization
Contact information
Practice address
CARR. 101 KM 7.1, BO. PALMAREJO, LAJAS, PR 00667
(787) 808-1420
(787) 808-0897
Mailing address
PO BOX 190, MAYAGUEZ, PR 00681-0190
(787) 805-7360
(787) 805-7360
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
1182
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1182
LICENCIA
PR
01
—
2231
NUM. PROVEEDOR PMC
PR
Enumeration date
06/02/2009
Last updated
06/02/2009
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