Organization
LABORATORIOS BACO INC
Active
Other names
MAYAGUEZ ENDOCRINE & CLINICAL LAB
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JORGE B BACO BSMT(ASCP) (PRESIDENT)
(787) 832-7190
Entity
Organization
Contact information
Practice address
22 CALLE PERAL N, MAYAGUEZ, PR 00680-4821
(787) 832-7190
Mailing address
22 CALLE PERAL N, MAYAGUEZ, PR 00680-4821
(787) 832-7190
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
170
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20224
PREFERRED MEDICARE CHOICE
PR
Enumeration date
02/28/2008
Last updated
11/27/2023
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