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General NPI Number Information
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NPI Number | 1538518212
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Entity Type | Organization
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Legal Business Name | LABORATORIO CLINICO OCEAN FRONT INC.
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Dates
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Enumeration Date | 06/03/2016
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Last Update Date | 02/12/2026
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Provider Practice Location Address
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Address Line | CARR PR-686, KM. 9.5, BO YEGUADA
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City | VEGA BAJA
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State | PR
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Zip | 00693
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Country | US
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Telephone | 787-807-0007
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Fax | 787-807-0007
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Provider Business Mailing Address
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Address Line | PO BOX 342
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City | CIALES
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State | PR
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Zip | 00638-0342
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Country | US
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Telephone | 787-807-0007
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Fax | 787-807-0007
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Authorized Official
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Title or Position | PRESIDENT
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Name | NORDIA LISBEL BERRIOS
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Credential |
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Telephone | 787-346-8579
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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 | 1217
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License Number State | PR
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