| NPI | 1326287756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WANDA E GOMEZ President 787-635-2840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: PR 5539) |
| Enumeration Date | 2009-02-09 |
| Last Update Date | 2021-09-10 |