Organization
CLINILAB
Active
Other names
Tania Chico Morales
Organization subpart
No
Provider details
NPI number
Authorized official
TANIA CELESTE CHICO M.T. (SUPERVISOR)
(787) 892-0520
Entity
Organization
Contact information
Practice address
AVE LOS ATLETICOS DE SAN GERMAN #222, SAN GERMAN, PR 00683
(787) 892-0520
Mailing address
P.O. BOX 268, SAN GERMAN, PR 00683-0268
(787) 892-0520
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
915
PR
Other
Enumeration date
06/22/2007
Last updated
04/20/2008
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