Waxali INC

NPI #1154603546 in Toa Alta, Puerto Rico

Provider Information

NPI Number: 1154603546
Entity Type: Organization
Organization Name: Waxali INC
Subpart: Yes (part of a larger organization)
Parent Organization: WAXALI INC
Primary Specialty: Clinical Medical Laboratory
Enumeration Date: Sep 13, 2011
Last Updated: May 12, 2014

Practice Location

Address: RIO DEL PLATA MALL,URB JARDINES DE TOA ALTA,CALLE # 1
Address 2: SUITE # 8
City: Toa Alta
State: Puerto Rico
ZIP Code: 00953
Phone: (787) 545-3200

Authorized Official

Name: MR. JOSE L COLLAZO-ROSADO, MT
Title: PRESIDENT
Phone: (787) 869-1111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinical Medical Laboratory	291U00000X	Primary

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