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General NPI Number Information
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NPI Number | 1306928684
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Entity Type | Organization
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Legal Business Name | LABORATORIO CLINICO RODRIGUEZ STELLA INC
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Dates
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Enumeration Date | 10/19/2006
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Last Update Date | 04/05/2021
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Provider Practice Location Address
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Address Line | 2610 MAYOR STREET SUITE 2
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City | PONCE
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State | PR
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Zip | 00717-2074
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Country | US
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Telephone | 787-843-2251
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Fax | 787-843-2251
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Provider Business Mailing Address
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Address Line | 2610 MAYOR STREET SUITE 2
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City | PONCE
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State | PR
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Zip | 00717-2074
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Country | US
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Telephone | 787-843-2251
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Fax | 787-843-2251
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Authorized Official
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Title or Position | PRESIDENTE
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Name | MR. DAMIAN E SANCHEZ IRIZARRY
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Credential |
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Telephone | 787-808-4040
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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 | 0428
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License Number State | PR
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