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General NPI Number Information
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NPI Number | 1801689492
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Entity Type | Organization
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Legal Business Name | LABORATORIO CLINICO BIENESTAR CORP.
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Dates
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Enumeration Date | 05/27/2025
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Last Update Date | 05/27/2025
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Provider Practice Location Address
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Address Line | PR-2 KM. 68.9 BO. SANTANA
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City | ARECIBO
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State | PR
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Zip | 00612
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Country | US
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Telephone | 787-306-7776
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 123
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City | VEGA BAJA
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State | PR
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Zip | 00694-0123
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Country | US
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Telephone | 787-306-7776
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | GISSELLE M SANTIAGO
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Credential |
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Telephone | 787-306-7776
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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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