# INTERVENTIONAL RADIOLOGY ASSOCIATES, P.S.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043498454
- **Authorized official:** DR. MANUEL R PEREZ M.D. (PRESIDENT)
- **Authorized official phone:** (787) 760-9208

## Contact information

- **Practice address:** CALLE 2 \#34, URB. PASEO ALTO, SAN JUAN, PR 00926
- **Practice address phone:** (787) 760-9208
- **Mailing address:** PO BOX 19120, SAN JUAN, PR 00910
- **Mailing address phone:** (787) 760-9208

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085B0100X | Body Imaging Physician | — | NULL | — |
| 2085B0100X | Body Imaging Physician | — | — | — |
| 2085R0202X | Diagnostic Radiology Physician | 4759 | PR | — |
| 2085R0204X | Vascular & Interventional Radiology Physician | 4759 | PR | Yes |
| 2085U0001X | Diagnostic Ultrasound Physician | — | NULL | — |
| 2085U0001X | Diagnostic Ultrasound Physician | — | — | — |

## Other

- **Enumeration date:** 02/07/2008
- **Last updated:** 02/07/2008