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General NPI Number Information
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NPI Number | 1891610028
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Entity Type | Organization
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Legal Business Name | LABORATORIO CLINICO ALTAMIRA PSC
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Dates
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Enumeration Date | 08/13/2026
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Last Update Date | 08/13/2026
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Provider Practice Location Address
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Address Line | AVE JESUS T PINEIRO ESQ 1900 MARGINAL EXPRESO MARTINEZ NADAL
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City | SAN JUAN
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State | PR
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Zip | 00921
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Country | US
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Telephone | 787-287-0645
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Fax |
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Provider Business Mailing Address
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Address Line | 35 CALLE JUAN C BORBON STE 69
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City | GUAYNABO
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State | PR
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Zip | 00969-5375
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Country | US
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Telephone | 787-287-0645
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | NILSA MARRERO
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Credential |
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Telephone | 939-642-0451
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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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