Organization
LABORATORIO CLINICO PENA POBRE CSP
Active
Organization
LABORATORIO CLINICO PENA POBRE CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAMONA ROSADO ROSADO MT (LABORATORY DIRECTOR)
(787) 874-1698
Entity
Organization
Contact information
Practice address
ROAD 31 KM 13.0, BO PENA POBRE, NAGUABO, PR 00718
(787) 874-1698
(787) 874-1698
Mailing address
BH12 CALLE 33 VILLA UNIVERSITARIA, HUMACAO, PR 00791-4363
(787) 874-1698
(787) 874-1698
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
872
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
872
STATE LICENSE NUMBER
PR
Enumeration date
06/27/2005
Last updated
08/22/2020
Update your record
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