Domenech Vascular Laboratory INC
Physiological Laboratory in San Juan, PR. Organization (NPI-2).
NPI number1144362088
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1144362088
- Entity type
- Organization (NPI-2)
- Legal business name
- Domenech Vascular Laboratory INC
- Organization subpart
- No
- Enumeration date
- Feb 13, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 293D00000X | Physiological Laboratory | – | – | Yes |
Practice location
405a Calle MontillaUrb Parque Central
San Juan, PR 00918-2607
Phone 787-250-7157
Mailing address
405a Calle MontillaUrb Parque Central
San Juan, PR 00918-2607
Authorized official
Jose Carlos Colon
Administrative Director
7872507157
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