| NPI | 1710283411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLORIA M MERCADO Owner 787-895-6216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: PR 893) |
| Enumeration Date | 2011-01-28 |
| Last Update Date | 2011-01-28 |