Laboratorio Clinico Aquarium INC
Clinical Medical Laboratory in Toa Alta, PR. Organization (NPI-2).
NPI number1922094473
StatusActive
Last updated in NPPESMar 4, 2024
Details
- NPI
- 1922094473
- Entity type
- Organization (NPI-2)
- Legal business name
- Laboratorio Clinico Aquarium INC
- Organization subpart
- No
- Enumeration date
- Sep 21, 2005
- Certification date
- Mar 4, 2024
- Last updated
- Mar 4, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | 957 | PR | Yes |
Practice location
Carr 165 Km 4.7Plaza Aquarium Shopping Mall
Toa Alta, PR 00953-8836
Phone 787-870-2101 · Fax 787-870-2101
Mailing address
Po Box 970Dorado, PR 00646
Phone 787-870-2101 · Fax 787-870-4077
Authorized official
Jolly Ortiz
Director
7876142131
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