Organization
GRUPO DE EMPRESAS DE SALUD DE SAN JUAN, INC.
Active
Organization
GRUPO DE EMPRESAS DE SALUD DE SAN JUAN, INC.
Active
Parent organization
LABORATORIO
Organization subpart
Yes
Provider details
NPI number
Legal business name
LABORATORIO
Authorized official
RAUL VILLALOBOS (PRESIDENT)
(787) 767-8758
Entity
Organization
Contact information
Practice address
CALLE CARILE 130, EXPRESO TRUJILLO ALTO, TRUJILLO ALTO, PR 00976
(787) 767-8758
Mailing address
PO BOX 193044, SAN JUAN, PR 00919-3044
(787) 767-8758
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31171
PROVIDER NUMBER
—
Enumeration date
11/30/2007
Last updated
11/30/2007
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