Carmen Rivera Marcano
Clinical Medical Laboratory in Caguas, PR. Organization (NPI-2).
NPI number1104251305
StatusActive
Last updated in NPPESSep 6, 2013
Details
- NPI
- 1104251305
- Entity type
- Organization (NPI-2)
- Legal business name
- Carmen Rivera Marcano
- Organization subpart
- No
- Enumeration date
- Sep 6, 2013
- Last updated
- Sep 6, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | – | – | Yes |
Other names
- Laboratorio Clinico Licer (Doing Business As)
Practice location
F-4 Ave Degetau Bonneville TerraceCaguas, PR 00725-0000
Phone 787-743-0166 · Fax 787-715-0170
Mailing address
120 Ave. Las Sierras65
San Juan, PR 00926-0000
Phone 787-743-0166
Authorized official
Manuel Alberto Guevara
Administrator
7875990526
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