| NPI | 1821104654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAGDALENA CRUZ General Supervisor Owner 787-280-3085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: PR 1017) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2020-08-12 |