| NPI | 1073760641 |
|---|---|
| Former Legal Business Name | ANGELO MENDEZ |
| Entity Type | Organization |
| Authorized Contact | ANGELO MENDEZ Owner 787-746-1665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: PR 78) |
| Enumeration Date | 2008-08-26 |
| Last Update Date | 2008-10-07 |