| NPI | 1114033560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGEL VALE President 787-754-6868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: PR 492) |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services (Licence: PR 67) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2013-04-01 |