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General NPI Number Information
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NPI Number | 1184991523
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Entity Type | Organization
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Legal Business Name | LABORATORIO CLINICO PORTA CARIBE INC.
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Dates
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Enumeration Date | 11/30/2011
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Last Update Date | 11/30/2011
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Provider Practice Location Address
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Address Line | CARRETERA 153 KM 7.5 SECTOR USERAS, BARRIO PASO SECO
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City | SANTA ISABEL
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State | PR
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Zip | 00757
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Country | US
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Telephone | 787-608-6854
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Fax |
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Provider Business Mailing Address
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Address Line | 20 CALLE RUIZ BELVIS
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City | SANTA ISABEL
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State | PR
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Zip | 00757-2670
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Country | US
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Telephone | 787-608-6854
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. MARIEL AGUIRRE
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Credential | MT(ASCP)
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Telephone | 787-608-6854
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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 |
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License Number State |
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