| NPI | 1366651820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HECTOR MERCADO President 787-878-2730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: PR 169) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: PR CLIA40D0716971) |
| 291U00000X Clinical Medical Laboratory (Licence: PR 169A) | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-08-22 |