| NPI | 1962542803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILLIANNE MARIE ALONSO Administrator 787-382-4167 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: PR 377) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2020-08-22 |