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General NPI Number Information
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NPI Number | 1942375746
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Entity Type | Organization
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Legal Business Name | LABORATORIO CLINICO MARGIMAR INC
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Dates
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Enumeration Date | 11/21/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | GLENVIEW GARDENS DEV S3 F11
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City | PONCE
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State | PR
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Zip | 00733
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Country | US
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Telephone | 787-840-6593
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Fax | 787-840-6578
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Provider Business Mailing Address
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Address Line | PO BOX 7052
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City | PONCE
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State | PR
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Zip | 00732
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Country | US
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Telephone | 787-840-6593
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Fax | 787-840-6578
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ISIDRO M MARTINEZ
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Credential |
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Telephone | 787-843-1984
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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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