| NPI | 1417901273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISETTE SANTIAGO Director/President 787-850-6045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: PR 779) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2020-08-22 |