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General NPI Number Information
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NPI Number | 1275538357
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Entity Type | Organization
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Legal Business Name | LABORATORIO CLINICO CEIBENO LLC
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Dates
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Enumeration Date | 06/16/2005
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Last Update Date | 05/29/2024
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Provider Practice Location Address
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Address Line | 296 AVE LAURO PINERO
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City | CEIBA
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State | PR
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Zip | 00735-2703
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Country | US
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Telephone | 787-885-2270
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Fax | 787-885-1820
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Provider Business Mailing Address
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Address Line | PO BOX 1638
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City | CEIBA
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State | PR
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Zip | 00735-1638
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Country | US
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Telephone | 787-953-3906
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. AMARILIS FIGUEROA ALVAREZ
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Credential | MT
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Telephone | 787-319-9581
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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 | 1004
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License Number State | PR
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