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General NPI Number Information
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NPI Number | 1346250156
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Entity Type | Organization
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Legal Business Name | LABORATORIO CLINICO BACTERIOLOGICO TORVAL AGOSTINI INC
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Dates
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Enumeration Date | 08/08/2006
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Last Update Date | 07/09/2025
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Provider Practice Location Address
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Address Line | 21 CALLE SANTIAGO R PALMER
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City | CIDRA
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State | PR
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Zip | 00739-3323
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Country | US
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Telephone | 787-739-4090
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Fax | 787-739-4090
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Provider Business Mailing Address
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Address Line | 21 CALLE SANTIAGO R PALMER
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City | CIDRA
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State | PR
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Zip | 00739-3323
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Country | US
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Telephone | 787-739-4090
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Fax | 787-739-4090
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Authorized Official
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Title or Position | PRESIDENTE
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Name | MR. WILLIAM RIOS VELEZ
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Credential | M.T.
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Telephone | 787-941-0688
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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 | 0792
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License Number State | PR
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