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General NPI Number Information
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NPI Number | 1821534009
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Entity Type | Organization
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Legal Business Name | LABORATORIO CLINICO PROFESIONAL EMANUEL - RIO CANAS
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Dates
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Enumeration Date | 01/12/2017
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | CARR. PR 14, KM 18.3 BO. TIJERAS
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City | JUANA DIAZ
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State | PR
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Zip | 00795
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Country | US
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Telephone | 787-580-0080
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Fax | 787-580-0081
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Provider Business Mailing Address
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Address Line | MANSION DEL SUR 64 CEIBA STREET
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City | COTO LAUREL
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State | PR
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Zip | 00780-2086
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Country | US
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Telephone | 787-212-0119
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Fax | 787-837-8041
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. GREGORIO TORRES
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Credential |
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Telephone | 787-212-0119
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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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