| NPI | 1013910512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLYN D ACEVEDO Owner 787-502-9700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: PR 362) |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2009-11-05 |