40D1020934 CLIA NUMBER - CENTRO DE ESTUDIOS MATERNO INFANTILES DEPARTAMENTO DE OBSTETRICIA Y GINECOLOGIA

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Laboratory Demographics

CLIA Number: 40D1020934

Facility Name: CENTRO DE ESTUDIOS MATERNO INFANTILES DEPARTAMENTO DE OBSTETRICIA Y GINECOLOGIA

Facility Address:
BIOMEDICAL BUILDING #2 FIRST FLOOR ESCUELA MEDICINA UNIVERSIDAD DE PUERTO RICO
RIO PIEDRAS, PR
ZIP 00935
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Facility Phone Number: 787 753-5913

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1598075939

Taxonomy: 2085B0100X - Radiology
A Radiology doctor of Osteopathy that specializes in Body Imaging.

CLIA Record

Field Name	Field Value
CLIA Number	40D1020934
LAB Type	Other
Facility Name	CENTRO DE ESTUDIOS MATERNO INFANTILES DEPARTAMENTO DE OBSTETRICIA Y GINECOLOGIA
Street	BIOMEDICAL BUILDING #2 FIRST FLOOR ESCUELA MEDICINA UNIVERSIDAD DE PUERTO RICO
City	RIO PIEDRAS
State	PR
ZIP	00935
Phone	787 753-5913
CertificateType	4
CertificateEffectiveDate	1/8/2024
CertificateExpirationDate	1/7/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024