Organization
MARISOL CALLAZO ORTIZ INC
Active
Other names
Laboratorio Clinico Microbiologico Puerto Rico
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARISOL COLLAZO MS MT (LAB DIRECTOR)
78773875556
Entity
Organization
Contact information
Practice address
AVENIDA LUIS MUNOZ MARIN #11, CAYEY, PR 00736
(787) 738-7556
(787) 738-1515
Mailing address
PO BOX 1700, CAYEY, PR 00737-1700
(787) 738-7556
(787) 738-1515
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
746
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051387
LA CRUZ AZUL DE PUERTO RI
—
01
—
0877
INTERNATIONAL MEDICAL CAR
—
01
—
15843
AMPR
—
01
—
20213
PREFERRED MEDICARE CHOICE
—
01
—
20463
AMERICAN HEALTH
—
01
—
30646
TRIPLE S
—
01
—
400123
PREFERRED HEALTH UTI
—
01
—
6330044
HUMANA REFORMA
—
01
—
LB00746
UIA
—
Enumeration date
01/29/2007
Last updated
08/22/2020
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