LABORATORIO VASCULAR CLINICO INC NPI 1578560314

NPI Information

  • NPI: 1578560314
  • Provider Name: LABORATORIO VASCULAR CLINICO INC
  • Classification: Radiology - 2085U0001X
  • Specialization: Diagnostic Ultrasound
  • Entity Type: Organization
  • CLIA Number: 40D0886478
  • Address: 716 PONCE DE LEON AVE.
    HATO REY, PR
    ZIP 00918
  • Phone: (787) 758-7500

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NPI Details

LABORATORIO VASCULAR CLINICO INC is a diagnostic ultrasound radiology in Hato Rey, PR. The provider is a Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound. LABORATORIO VASCULAR CLINICO INC NPI is 1578560314. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

716 PONCE DE LEON AVE.
HATO REY, PR
ZIP 00918-510
Phone: (787) 758-7500
Fax: (787) 758-0975

The provider's authorized official is Guillermo Acaron Souffront .
The authorized official title is Medical Director and has the following contact phone number (787) 758-7500.

The CLIA number assigned to this NPI record is 40D0886478 - independent with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 7/7/2005 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085U0001XRadiologyDiagnostic UltrasoundPUERTO RICOYes

What is NPI?

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This page was last updated on: 11/21/2025

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