| NPI | 1972703890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAUL VILLALOBOS President 787-767-8758 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: PR 40D0888063) |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2007-07-19 |