Organization
LABORATORIO CLINICO AQUARIUM INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOLLY ORTIZ MT (DIRECTOR)
(787) 614-2131
Entity
Organization
Contact information
Practice address
CARR 165 KM 4.7, PLAZA AQUARIUM SHOPPING MALL, TOA ALTA, PR 00953-8836
(787) 870-2101
(787) 870-2101
Mailing address
PO BOX 970, DORADO, PR 00646
(787) 870-2101
(787) 870-4077
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
957
PR
Other
Enumeration date
09/21/2005
Last updated
03/04/2024
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