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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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