| NPI | 1093797946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELBA ENID MANZANO Owner Supervisor 787-833-0470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: PR 304) |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2020-08-22 |