| NPI | 1376759621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILAGROS IVELISSE PEREZ Owner 787-995-3888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: PR 521) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2012-08-16 |