| NPI | 1285747659 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | VIVIAN MIRANDA Director 787-785-7919  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: PR 487)  | 
| Enumeration Date | 2006-08-17 | 
| Last Update Date | 2012-02-09 |