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NPI Code Detail

MEDICARE: QUIMED CORP

MEDICARE: QUIMED CORP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1291U00000XClinical Medical Laboratory
2291U00000XClinical Medical Laboratory559PR

General Provider Information

NPI Number : 1144208216
Entity Type Code : Organization
Provider Name (Legal Business Name) : QUIMED CORP
Provider Business Mailing Address
First Line : PO BOX 7056
Second Line : AVENIDA BORINQUEN 2036 BO. OBRERO SANTURCE
City : SAN JUAN
State : PR
Zip : 00916-7056
Country : US
Telephone Number : 787-726-0397
Fax Number : 787-726-0397
Provider Business Practice Location Address
First Line : AVE BORINQUEN 2036 BO OBRERO SANTURCE
Second Line :
City : SAN JUAN
State : PR
Zip : 00915
Country : US
Telephone Number : 787-726-0397
Fax Number : 787-726-0397
Authorized Official
Title or Position : DUENA
Name : NORMA I PACHECO RODRIGUEZ
Credential : MT MS
Telephone Number : 787-726-0397
Provider Enumeration Date : 01/09/2006
Last Update Date : 03/11/2010

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Directions to “QUIMED CORP ” Practice Location

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