Organization · NPI-2

Servicios Patologicos De Manati

Physiological Laboratory · San Juan, PR

NPI number1306151956
StatusActive
Last updated in NPPESAug 6, 2010

Details

NPI
1306151956
Entity type
Organization (NPI-2)
Legal business name
Servicios Patologicos De Manati
Organization subpart
No
Enumeration date
Aug 6, 2010
Last updated
Aug 6, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
293D00000X Physiological Laboratory13598PRYes

Practice location

400 Calle Kalaf
Pmb 59
San Juan, PR 00918-1314

Phone 787-221-0171

Mailing address

1 Calle Jose R Candelas
Manati Medical Mall Suite 101
Manati, PR 00674

Phone 787-221-0171

Authorized official

Javier J Rodriguez-Becerra
Doctor
7872210171

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