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General NPI Number Information
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NPI Number | 1174547483
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Entity Type | Organization
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Legal Business Name | LABORATORIO CLINICO EL MORRO, INC
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 05/13/2022
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Provider Practice Location Address
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Address Line | 11 AVE SIMON MADERA
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City | SAN JUAN
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State | PR
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Zip | 00924-2231
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Country | US
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Telephone | 787-753-4736
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Fax | 939-338-1609
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Provider Business Mailing Address
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Address Line | 11 AVE SIMON MADERA
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City | SAN JUAN
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State | PR
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Zip | 00924-2231
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Country | US
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Telephone | 787-753-4736
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Fax | 939-338-1609
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Authorized Official
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Title or Position | OWNER
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Name | MIGUEL A RODRIGUEZ
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Credential |
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Telephone | 787-717-8152
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 879
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License Number State | PR
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