| NPI | 1073657854 | 
|---|---|
| Doing Business As | LABORATORIO CLINICO LA FUENTE | 
| Entity Type | Organization | 
| Authorized Contact | CARLOS R. WHITE President 787-866-6470  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: PR 1075)  | 
| Enumeration Date | 2007-02-16 | 
| Last Update Date | 2008-02-21 |