| NPI | 1841368586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD CENTENO Owner 787-260-3853 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: PR 38226) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2008-06-30 |