| NPI | 1457763997 |
|---|---|
| Former Legal Business Name | LABORATORIO CLINICO DIVINO NINO |
| Entity Type | Organization |
| Authorized Contact | BRENDALIZ AVILES Supervisor 787-635-8154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: PR 1312) |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2014-06-02 |