Laboratorio Clinico Y De Referencia Puerto Del Rey, LLC

NPI #1124684543 in Fajardo, Puerto Rico

Provider Information

NPI Number
1124684543
Entity Type
Organization
Organization Name
Laboratorio Clinico Y De Referencia Puerto Del Rey, LLC
Primary Specialty
Clinical Medical Laboratory
Enumeration Date
May 10, 2019
Last Updated
May 10, 2019

Practice Location

Address
URB FAJARDO GARDENS
Address 2
696 CALLE CIPRES
ZIP Code
00738
Phone
(787) 534-7181

Authorized Official

Name
WANDA IVETTE AVILES
Title
PRESIDENT
Phone
(787) 534-7181

Specialties & Taxonomy Codes

Specialty
Clinical Medical Laboratory

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