Organization
TOA ALTA CURA CHC
Active
Organization
TOA ALTA CURA CHC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EDITH M VEGA MT (LABORATORY DIRECTOR)
(787) 870-1529
Entity
Organization
Contact information
Practice address
16 CALLE BARCELO, TOA ALTA, PR 00953-2444
(787) 870-1529
(787) 870-1508
Mailing address
16 CALLE BARCELO, TOA ALTA, PR 00953-2444
(787) 870-1529
(787) 870-1508
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
0706
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00424
AMERICAN HEALTH
PR
01
—
0706
STATE LABORATORY LICENSE
PR
01
—
100167
CRUZ AZUL DE PUERTO RICO
PR
01
—
31360
TRIPLE S TRIPLE C
PR
01
—
3451-3
ASOCIACION DE MAESTROS
PR
01
—
4001281
ACAA
PR
01
—
600293
PREFERRED HEALTH PLAN
PR
01
—
61
STATE HEALTH LICENSE
PR
01
—
P848
INTERNATIONAL MED CARD
PR
Enumeration date
07/18/2006
Last updated
08/22/2020
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