| NPI | 1811172828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WANDA DAMARIS GONZALEZ President 787-646-4608 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: PR 1145) |
| Enumeration Date | 2008-01-09 |
| Last Update Date | 2008-03-12 |