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General NPI Number Information
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NPI Number | 1811004401
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Entity Type | Organization
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Legal Business Name | LABORATORIO CLINICO RISAN, INC.
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Dates
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Enumeration Date | 08/23/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 44TH STREET H-9 COLINAS DE MONTECARLO
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City | SAN JUAN
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State | PR
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Zip | 00924
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Country | US
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Telephone | 787-762-3294
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Fax | 787-762-3294
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Provider Business Mailing Address
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Address Line | 44TH STREET H-9 COLINAS DE MONTECARLO
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City | SAN JUAN
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State | PR
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Zip | 00924
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Country | US
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Telephone | 787-762-3294
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Fax | 787-762-3294
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JAVIER E. SANTIAGO
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Credential |
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Telephone | 787-243-4536
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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 | 349
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License Number State | PR
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