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General NPI Number Information
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NPI Number | 1881964955
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Entity Type | Organization
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Legal Business Name | LABORATORIO CLINICO DR. GUALBERTO RABELL
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Dates
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Enumeration Date | 01/06/2012
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Last Update Date | 05/09/2023
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Provider Practice Location Address
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Address Line | 900 CALLE CERRA FINAL ESQUINA CALLE HOARE
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City | SAN JUAN
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State | PR
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Zip | 00907-1405
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Country | US
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Telephone | 787-480-3876
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Fax | 787-977-0544
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Provider Business Mailing Address
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Address Line | P.O. BOX 21405
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City | SAN JUAN
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State | PR
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Zip | 00907-1405
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Country | US
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Telephone | 787-480-3876
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE SUBDIRECTOR
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Name | MS. MARITZA VEGA
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Credential | MBA HCM
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Telephone | 787-480-3841
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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 | 766
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License Number State | PR
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