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General NPI Number Information
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NPI Number | 1366229684
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Entity Type | Organization
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Legal Business Name | QUEST DIAGNOSTICS OF PUERTO RICO, INC
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Dates
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Enumeration Date | 09/11/2023
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Last Update Date | 09/11/2023
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Provider Practice Location Address
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Address Line | MM-9 AVE ITURREGUI
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City | CAROLINA
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State | PR
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Zip | 00982-1897
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Country | US
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Telephone | 787-474-2900
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Fax | 787-765-5663
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Provider Business Mailing Address
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Address Line | 107 AVE ORTEGON STE 103
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City | GUAYNABO
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State | PR
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Zip | 00966-2516
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Country | US
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Telephone | 787-474-2900
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Fax | 787-765-5663
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | OMAYRA ESPINOSA
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Credential |
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Telephone | 787-474-2900
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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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