All Medicaid billing entities listing AVILES, WANDA (OWNER-PRESIDENT OF CORP-LAB. SUPERV) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Puerto Rico | 1 | $691K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | LABORATORIO CLINICO FAJARDO, INC. | FAJARDO, PR | Clinical Medical Laboratory | $691K |