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Organization
INTERVENTIONAL RADIOLOGY ASSOCIATES, P.S.C.
Active
Organization
INTERVENTIONAL RADIOLOGY ASSOCIATES, P.S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANUEL R PEREZ M.D. (PRESIDENT)
(787) 760-9208
Entity
Organization
Contact information
Practice address
CALLE 2 #34, URB. PASEO ALTO, SAN JUAN, PR 00926
(787) 760-9208
Mailing address
PO BOX 19120, SAN JUAN, PR 00910
(787) 760-9208
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
—
NULL
2085B0100X
Body Imaging Physician
—
—
2085R0202X
Diagnostic Radiology Physician
4759
PR
2085R0204X
Vascular & Interventional Radiology Physician
Primary
4759
PR
2085U0001X
Diagnostic Ultrasound Physician
—
NULL
2085U0001X
Diagnostic Ultrasound Physician
—
—
Other
Enumeration date
02/07/2008
Last updated
02/07/2008
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