Dorado Community Health INC
Clinical Medical Laboratory in Dorado, PR. Organization (NPI-2).
NPI number1619918331
StatusActive
Last updated in NPPESApr 24, 2014
Details
- NPI
- 1619918331
- Entity type
- Organization (NPI-2)
- Legal business name
- Dorado Community Health INC
- Organization subpart
- No
- Enumeration date
- Jun 10, 2006
- Last updated
- Apr 24, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | 861 | PR | Yes |
Other names
- Dorado Community Health INC Laboratory (Doing Business As)
Practice location
400 Carr 698Bo. Mameyal
Dorado, PR 00646-3301
Phone 787-796-3330 · Fax 787-915-7597
Mailing address
Po Box 419Vega Alta, PR 00692
Phone 787-796-3330 · Fax 787-915-7597
Authorized official
Luis M Gonzalez Bermudez
Director Medico
7873161212
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