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General NPI Number Information
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NPI Number | 1619799681
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Entity Type | Organization
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Legal Business Name | LABORATORIO CLINICO HORMIGUEROS LLC
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Dates
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Enumeration Date | 10/30/2024
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Last Update Date | 05/14/2025
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Provider Practice Location Address
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Address Line | EDIFICIO MEDICO PROFESIONAL BORINQUEN SUITE 10
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City | CABO ROJO
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State | PR
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Zip | 00623
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Country | US
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Telephone | 787-255-0208
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Fax | 787-255-0330
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Provider Business Mailing Address
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Address Line | PO BOX 57
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City | HORMIGUEROS
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State | PR
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Zip | 00660-0057
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Country | US
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Telephone | 787-255-0208
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Fax | 787-255-0330
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Authorized Official
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Title or Position | CEO
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Name | TANIA RODRIGUEZ
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Credential | DRA
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Telephone | 787-849-9485
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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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