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General NPI Number Information
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NPI Number | 1801832654
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Entity Type | Organization
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Legal Business Name | LABORATORIO CLINICO ALTURAS INC.
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Dates
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Enumeration Date | 06/21/2006
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Last Update Date | 10/17/2007
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Provider Practice Location Address
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Address Line | CALLE A B 1 ALTURAS
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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 | 787-855-0756
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Fax | 787-855-1894
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Provider Business Mailing Address
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Address Line | CALLE A B 1 ALTURAS
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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 | 787-855-0756
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Fax | 787-855-1894
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ORLANDO RIVERA
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Credential | MD
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Telephone | 787-734-6737
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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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