| NPI | 1598833931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUZ ZAMBRANA FUENTES Owner 787-797-1190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: PR 796) |
| Enumeration Date | 2006-12-02 |
| Last Update Date | 2014-11-14 |