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NPI Code Detail

MEDICARE: LABORATORIO CLINICO MICHELSAN INC

MEDICARE: LABORATORIO CLINICO MICHELSAN INC
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 Laboratory598PR

General Provider Information

NPI Number : 1205013935
Entity Type Code : Organization
Provider Name (Legal Business Name) : LABORATORIO CLINICO MICHELSAN INC
Provider Business Mailing Address
First Line : PO BOX 71325
Second Line : SUITE 64
City : SAN JUAN
State : PR
Zip : 00936-8425
Country : US
Telephone Number : 787-751-7255
Fax Number : 787-274-2283
Provider Business Practice Location Address
First Line : 894 CALLE 45 SE
Second Line : AVE AMERICO MIRANDA
City : SAN JUAN
State : PR
Zip : 00921-1815
Country : US
Telephone Number : 787-751-7255
Fax Number : 787-274-2283
Authorized Official
Title or Position : DIRECTOR/OWNER
Name : MRS. GRECIA SANCHEZ
Credential : BSMT
Telephone Number : 787-751-7255
Provider Enumeration Date : 01/24/2008
Last Update Date : 01/24/2008

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Directions to “LABORATORIO CLINICO MICHELSAN INC ” Practice Location

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