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Organization

CARMEN CERMIRA RIVERA MARCANO

Active
Other names
Laboratorio Licer Universal
Organization subpart
No

Provider details

NPI number
Authorized official
CARMEN C RIVERA MARCANO (OWNER)
(787) 736-2951
Entity
Organization

Contact information

Practice address
CALLE MUNOZ RIVERA 5 NORTE, SAN LORENZO, PR 00754
(787) 736-2951
(787) 715-0170
Mailing address
CALLE MUNOZ RIVERA 5 NORTE, SAN LORENZO, PR 00754
(787) 736-2951
(787) 715-0170

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary

Other

Enumeration date
04/09/2007
Last updated
08/05/2008
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