| NPI | 1295275865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVELISSE MARTIN ORTIZ President 787-780-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: PR 659) |
| Enumeration Date | 2017-03-02 |
| Last Update Date | 2017-03-02 |