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Contact Information

MYRNA SANTIAGO CAMACHO
121 AVE BETANCES URB HERMANAS DAVILA
BAYAMON, PR00959
 Phone: 787-780-8000
 Fax: 787-740-7149
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Medical Laboratory

291U00000X 69 Clinical Laboratory
Indicates primary specialty

NPI Profile & details for

NPI Number 1043484231
Entity Organization
Organization subpart 1 Not specified
Enumeration date 04/17/2008
Last updated 06/19/2013 - About 13 years ago
Identifiers
PR License # 659
PR Other 30513 TRIPLE-S
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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