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Extended Network Listing PR Leased Facility & Ancillary Extended Network Listing PR Leased Facility & Ancillary AA'ASCO RODRIGUEZ ARROYO LAB 38 CALLE RODULFO GONZALEZ LABORATORY FACILITY ADJUNTAS PR 00601 ADJUNTAS PH: (787) 829-2572 LABORATORIO CLINICO GARCIA 67 CALLE 65 INFANTERIA B-102 AA'ASCO PR 00610 N/A AGUADA PH: (787) 826-2360 ALLIED HEALTH PROF GROUP ADJUNTAS AVISANT GRUPO MEDICO CARR 115 KM 0.1 AVE ROTARIO BO ALLIED HEALTH PROF GROUP AGUADA PR 00602 N/A PH: (787) 868-9999 SKY OPTICAL OUTLET 24 CALLE MUNOZ RIVERA INST DE OJOS Y CIRUGIA PLASTICA ADJUNTAS PR 00601 N/A CARR 2 KM 133.5 BO GUANABANO PH: (787) 829-5395 AGUADA PR 00602 N/A PH: (787) 252-8316 LABORATORY FACILITY LAABES MEDICAL LAB CLINICO ADAMAR CARR 417 KM 2.7 SAN JOAQUIN 33 AGUADA PR 00602 N/A ADJUNTAS PR 00601 ADJUNTAS PH: (787) 384-8786 PH: (787) 829-6375 DME SUPPLY COMPANY LAB CLINICO SANTIAGO IRIZARRY 23 CALLE RODULFO GONZALEZ PROFESSIONAL HEATH CARE ADJUNTAS PR 00601 N/A 131 CALLE COLON PH: (787) 829-2541 AGUADA PR 00602 AGUADA PH: (787) 252-3945 LABORATORIO CLINICO ADJUNTAS 33 CALLE SAN JOAQUIN PROFESSIONAL HEATH CARE ADJUNTAS PR 00601 ADJUNTAS 135 CALLE COLON PH: (787) 829-6375 AGUADA PR 00602 AGUADA PH: (787) 252-3945 LABORATORIO CLINICO ADJUNTAS CALLE SAN JOAQUIN #33 LABORATORY FACILITY ADJUNTAS PR 00601 ADJUNTAS PH: (787) 829-6375 LAB CLINICO JERUSALEM CARR 417 KM 3.0 LABORATORIO CLINICO AILI AGUADA PR 00602 N/A 9 CALLE RIUS RIVERA PH: (787) 868-4453 ADJUNTAS PR 00601 ADJUNTAS PH: (787) 829-4004 Thursday, November 01, 2012 Page 1 of 156 Extended Network Listing PR Leased Facility & Ancillary LAB CLINICO OCCIDENTAL MARGARITA CLINICAL 135 CALLE COLON LABORATORIES AGUADA PR 00602 AGUADA CARR 4415 BO ASO MANTE PH: (787) 868-6080 AGUADA PR 00602 N/A PH: (787) 868-7272 LAB CLINICO SAN FRANCISCO PLAZA COPPELIA STE 101 OCCIDENTAL LAB CLINICO AGUADA PR 00602 N/A 162 CALLE COLON PH: (787) 868-8607 AGUADA PR 00602 AGUADA PH: (787) 668-6080 LAB CLINICO YESMAR 118 CALLE COLON PROVIDER GROUP AGUADA PR 00602 AGUADA CENTRO ESPECIALIZADO MEDICINA PH: (787) 868-2450 INTERNA LAB CLINICO YESMAR 125A CALLE COLON AGUADA PR 00602 AGUADA CALLE COLON #110C AGUADA PR 00602 AGUADA PH: (787) 868-7110 PH: (809) 868-2450 CENTRO ESPECIALIZADO MEDICINA INTERNA LABORATORIO CLINICO 127B CALLE COLON AGUADENO AGUADA PR 00602 AGUADA ESTACION 56 AGUADA PR 00602 AGUADA PH: (787) 868-7110 PH: (787) 868-7095 INTERNAL MEDICINE INDIVIDUAL PRACTICE LABORATORIO CLINICO KARYNELL BO ASOMANTE CARR STE 115 CARR 411 KM 9.4 BO ATALAYA AGUADA PR 00602 N/A AGUADA PR 00602 N/A PH: (787) 868-5857 PH: (787) 868-4999 INTERNAL MEDICINE INDIVIDUAL LABORATORIO CLINICO LORIMAR PRACTICE 172 CALLE COLON HOSPITAL BUEN SAMARITANO AGUADA PR 00602 AGUADA AGUADA PR 00602 N/A PH: (787) 877-1236 PH: (787) 868-5857 LABORATORIO CLINICO PORTA DEL VISUAL GALLERY SOL AVE NATIVO ALERS DESVIO BO GUAYNABO CARR 115 KM 20.5 AGUADA PR 00602 N/A AGUADA PR 00602 N/A PH: (787) 868-2181 PH: (787) 252-3167 LABORATORIO GADIEL AGUADILLA CARR 2 CENTER PLEX BLDSE 304 AGUADA PR 00602 N/A PH: (787) 868-5438 Thursday, November 01, 2012 Page 2 of 156 Extended Network Listing PR Leased Facility & Ancillary ALLIED HEALTH PROF GROUP VISUAL OUTLET 153 AVE PEDRO ALBIZU CAMPOS AGUADILLA XRAY CTR AGUADILLA PR 00603 N/A 2 CALLE PROGRESO STE 302 PH: (787) 891-4400 AGUADILLA PR 00605 N/A PH: (787) 891-6565 VISUAL OUTLET AVE PEDRO A CAMPOS #153 AGUADILLA XRAY CTR AGUADILLA PR 00603 N/A AGUADILLA MEDICAL BLDG #302 PH: (787) 891-4400 AGUADILLA PR 00605 AGUADILLA PH: (787) 891-6165 DME SUPPLY COMPANY AGUADILLA XRAY CTR BETTER LIFE PO BOX 418 CARR 107 KM 0.9 AGUADILLA PR 00605 AGUADILLA AGUADILLA PR 00605 N/A PH: (787) 891-6165 PH: (787) 997-3070 CONSULTORIO MEDICO DURABLE MEDICAL EQUIPMENT CARR 107 KM 2.7 BO BORINQUEN AGUADILLA PR 00603 AGUADILLA HI-TECH PROSTHETICS PH: (787) 891-5663 39 AVE SEVERIANO CUEVAS #39 AGUADILLA PR 00603 N/A CONSULTORIO MEDICO PH: (787) 891-4805 URB VILLA HAYDEE #10 AGUADILLA PR 00603 N/A GENERAL ACUTE CARE HOSPITAL PH: (787) 891-5663 AGUADILLA MEDICAL SERVICE DRA MARIA R COMAS CARR #2 KM 1293 CARR 2 KM 119.2 AGUADILLA PR 00604 AGUADILLA AGUADILLA PR 00603 N/A PH: (809) 882-0303 PH: (787) 882-3359 HOSPITAL C BUEN SAMARITANO MI OPTICA VISION CARE CARR 2 KM 141.1 CALLE PROGRESO 11B AGUADILLA PR 00605 AGUADILLA AGUADILLA PR 00603 N/A PH: (787) 819-0800 PH: (787) 882-8102 LABORATORY FACILITY ROVICO HEALTH CARE ADMIN & COUNSELING CLINICA DE CANCER Y ENF DE CARR 2 KM 141.2 AVE SANGRE AGUADILLA PR 00693 N/A 18 SEVERIANO CUEVAS AVE AGUADILLA PR 00603 N/A PH: (787) 808-1835 PH: (787) 882-3975 Thursday, November 01, 2012 Page 3 of 156 Extended Network Listing PR Leased Facility & Ancillary FABINAEL MEDICAL LABORATORIO CLINICO BET-EL CARR 2 68 BO CORRALES CARR 2 KM 123.8 BO CAIMITAL ALTO AGUADILLA PR 00605 N/A AGUADILLA PR 00603 N/A PH: (787) 882-5915 PH: (787) 585-9433 LAB CLINICO DEL MAR LABORATORIO CLINICO CARR 110 KM 8.8 CAMASEYES AGUADILLA PR 00603 AGUADILLA CARR 459 KM 3.9 PH: (787) 890-1170 AGUADILLA PR 00603 N/A PH: (787) 997-5229 LAB CLINICO JOSE DE DIEGO 27 AVE SEVERIANO CUEVAS LABORATORIO CLINICO CORTES AGUADILLA PR 00605 N/A VICTORIA 534 URB GARCIA PH: (787) 891-6350 AGUADILLA PR 00603 AGUADILLA PH: (787) 882-5050 LAB CLINICO JOSE DE DIEGO PO BOX 5183 LABORATORIO CLINICO MARBELLA AGUADILLA PR 00605 AGUADILLA 300 MARBELLA MINI ML # 107 PH: (814) 578-8378 AGUADILLA PR 00603 AGUADILLA PH: (787) 855-6363 LAB CLINICO SAN ANTONIO 152 AVE GENERAL RAMEY POBLADO LABORATORIO CLINICO MARBELLA AGUADILLA PR 00603 N/A MARBELLA MINI MALL 300 KM 1.8 PH: (787) 890-6161 AGUADILLA PR 00603 N/A PH: (787) 882-3846 LAB NORTHWESTERN MEDICAL CALLE KENNEDY 24 STE 101 LABORATORIO CLINICO RAMEY AGUADILLA PR 00603 AGUADILLA 183 CALLE 5 BASE RAMEY PH: (787) 891-1481 AGUADILLA PR 00604 N/A PH: (787) 890-2075 LABORATORIO CLINICO ADAMS CARR 2 MARGINAL URB CRYSTAL LABORATORIO CLINICO RAMEY AGUADILLA PR 00603 N/A CALLE BELT #183A PH: (787) 882-5915 AGUADILLA PR 00604 N/A PH: (787) 890-2075 LABORATORIO CLINICO BACTERIOL 45 AVE SEVERIANO CUEVAS LABORATORIO CLINICO SAHIMAR AGUADILLA PR 00603 AGUADILLA 2 CALLE PROGRESO STE 1ER PH: (787) 882-4700 AGUADILLA PR 00603 AGUADILLA PH: (787) 891-0303 LABORATORIO CLINICO BACTERIOL PO BOX 4249 LABORATORIO CLINICO VIVIANETE AGUADILLA PR 00605 AGUADILLA CARR 459 KM 0 1 LADO DE AGUADILL PH: (787) 882-4700 AGUADILLA PR 00732 N/A PH: (787) 882-4121 Thursday, November 01, 2012 Page 4 of 156 Extended Network Listing PR Leased Facility & Ancillary LABORATORIO CLINICO VIVIANETE PROVIDER GROUP CARR 459 KM 0.1 BO CORRALES AGUADILLA PR 00603 N/A AGUADILLA EYE MD PH: (787) 882-4121 125 CALLE JOSE DE DIEGO AGUADILLA PR 00603 AGUADILLA LABORATORIO CLINICO VIVIANETE PH: (787) 882-6370 PO BOX 5292 AGUADILLA PR 00605 AGUADILLA CARDIO SERVICES PH: (787) 882-4121 18 SEVERIANO CUEVAS AVE AGUADILLA PR 00603 N/A LABORTATORIO CLINICO IRIZARRY PH: (787) 819-1148 GUASCH CARR 107 KM 2.7 BO BORINQUEN CARDIO SERVICES AGUADILLA PR 00603 AGUADILLA HOSP BUEN SAMARTINO PH: (787) 899-0025 AGUADILLA PR 00603 N/A PH: (787) 819-1148 ODEMARIS LABORATORY CARR 110 KM 0.3 BO CEIBA BAJA CENTRO GINECOBSTETRICO AGUADILLA PR 00603 N/A 18 AVE SERVERIANO CUEVAS PH: (787) 891-2154 AGUADILLA PR 00608 N/A PH: (787) 908-6600 ODEMARIS LABORATORY PO BOX 1789 CENTRO GINECOBSTETRICO AGUADILLA PR 00605 AGUADILLA HOSP BUEN SAMARITANO PH: (787) 891-2154 AGUADILLA PR 00603 N/A PH: (787) 908-6600 OUTPATIENT DIAG/TREATMENT CT CFH SERVICIOS QUIRURGICOS CENTRO RADIOLOGICO Y 164 REPARTO LOPEZ OFIC SONOGRAFICO AGUADILLA PR 00605 N/A CARR S KM 141 AVE SEVERIANO PH: (787) 891-1820 AGUADILLA PR 00605 N/A PH: (787) 854-3131 CFH SERVICIOS QUIRURGICOS CARR 107 REPARTO LOPEZ OFIC 164 DIAGNOSTIC NUCLEAR MEDICINE AGUADILLA PR 00605 N/A CARR 2 KM 141.1 PH: (787) 891-1820 AGUADILLA PR 00605 AGUADILLA PH: (787) 882-1920 CFH SERVICIOS QUIRURGICOS PO BOX 5116 DIAGNOSTIC NUCLEAR MEDICINE AGUADILLA PR 00605 AGUADILLA HOSPITAL BUEN SAMARITANO LOBBY PH: (787) 891-1820 AGUADILLA PR 00605 N/A PH: (787) 882-1920 Thursday, November 01, 2012 Page 5 of 156 Extended Network Listing PR Leased Facility & Ancillary CIRUJANOS UNIDOS DEL JANIVE HEALTH SERVICES NOROESTE CARR 110 KM 0.2 25 SEVERIANO CUEVAS AGUADILLA PR 00604 N/A AGUADILLA PR 00603 AGUADILLA PH: (787) 882-7001 PH: (787) 891-8090 LUIS ANGEL VALLE PENA CLINICA DE MEDICINA FISICA Y ELC 136 CARR 459 18 AVE SEVERIANO CUEVAS AGUADILLA PR 00603 AGUADILLA AGUADILLA PR 00603 AGUADILLA PH: (787) 997-1111 PH: (787) 891-4833 LUIS ANGEL VALLE PENA CLINICA DE MEDICINA FISICA Y ELC 50 CARR 459 STE 160A HOSP BUEN SAMARITANO AVE KENNEDY AGUADILLA PR 00603 AGUADILLA AGUADILLA PR 00605 N/A PH: (787) 891-2333 PH: (787) 891-4833 LUIS ANGEL VALLE PENA CTR OTORRINOLARINGOL OGIA CARR 459 BARRIADA CABAN #160A NORO AGUADILLA PR 00603 N/A 162 AVE SAN RAFAEL PH: (787) 891-2333 AGUADILLA PR 00603 AGUADILLA PH: (787) 882-2602 LUIS ANGEL VALLE PENA HC 3 BOX 35303 FRONT SIGHT ANESTHESIA AGUADILLA PR 00603 AGUADILLA AVENUE SEVERIANO CUEVAS PH: (787) 891-2333 AGUADILLA PR 00604 N/A PH: (787) 997-0815 NEPROLOGOS ASSOCIADOS DEL OESTE FRONT SIGHT ANESTHESIA HOSP BUEN SAMARITANO 1ER PISO HOSP BUENSAMARITANO STE 330 AGUADILLA PR 00603 N/A AGUADILLA PR 00604 N/A PH: (787) 891-3786 PH: (787) 997-0815 NORTHWEST PRIMARY HELATHCARE FRONT SIGHT ANESTHESIA CTR PO BOX 250435 CARR 110 KM 3.6 AGUADILLA PR 00604 AGUADILLA AGUADILLA PR 00603 N/A PH: (787) 997-0815 PH: (787) 890-7989 GO FREE HEMMORHOID PAIN LESS NORTHWEST PRIMARY HELATHCARE CTR CTR 2008 AVE PEDRO ALBIZUM STE 5 CARR 110 KM 3.6BO ARENALES AGUADILLA PR 00603 N/A AGUADILLA PR 00603 N/A PH: (781) 891-7788 PH: (787) 890-0789 Thursday, November 01, 2012 Page 6 of 156 Extended Network Listing
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