Organization · NPI-2

Meditest Diagnostic

Physiological Laboratory · San Juan, PR

NPI number1396826780
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1396826780
Entity type
Organization (NPI-2)
Legal business name
Meditest Diagnostic
Organization subpart
No
Enumeration date
Oct 18, 2006
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
293D00000X Physiological Laboratory–PRYes

Practice location

700 Calle Dr Pavia Fernandez
Ave. Fernandez Juncos Suite 201
San Juan, PR 00909-2758

Phone 787-726-3724 · Fax 787-726-3724

Mailing address

Po Box 8700
San Juan, PR 00910-0700

Phone 787-726-3724 · Fax 787-726-3724

Authorized official

Juan Carlos Robert
Administrator
7877263724

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