| NPI | 1528678323 |
|---|---|
| Former Legal Business Name | LABORATORIO EBENEZER LLC |
| Entity Type | Organization |
| Authorized Contact | DAGMAR JOMARIE CORREA Owner 787-630-9149 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2020-08-06 |
| Last Update Date | 2020-08-06 |