| NPI | 1780988659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WANDA IVELISSE ROMAN President 787-941-7264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: PR 1260) |
| Enumeration Date | 2011-01-06 |
| Last Update Date | 2022-07-15 |