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NPI Code Detail

MEDICARE: LILLIAN-V-MAS-RIVERA

MEDICARE: LILLIAN-V-MAS-RIVERA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1291U00000XClinical Medical Laboratory699PR

General Provider Information

NPI Number : 1891839627
Entity Type Code : Organization
Provider Name (Legal Business Name) : LILLIAN-V-MAS-RIVERA
Provider Business Mailing Address
First Line : 237 SAN MARCOS
Second Line : EXT EL COMANDANTE
City : CAROLINA
State : PR
Zip : 00982-3664
Country : US
Telephone Number : 787-757-9588
Fax Number : 787-757-9588
Provider Business Practice Location Address
First Line : 237 SAN MARCOS
Second Line : EXT EL COMANDANTE
City : CAROLINA
State : PR
Zip : 00982-3664
Country : US
Telephone Number : 787-757-9588
Fax Number : 787-757-9588
Authorized Official
Title or Position : DIRECTOR
Name : MRS. LILLIAN V MAS RIVERA
Credential : MT
Telephone Number : 787-757-9588
Provider Enumeration Date : 02/16/2007
Last Update Date : 08/04/2010

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Directions to “LILLIAN-V-MAS-RIVERA ” Practice Location

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