| NPI | 1164563243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRYCEL ROSADO SANTIAGO Owner 787-841-4846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: PR 273) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2021-02-12 |