| NPI | 1942378708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOLANDA COLON Administrator 787-281-0370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: PR 40D0902422) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: PR 873) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2025-01-07 |