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Organization
JK RADIOLOGY SERVICES, CSP
Active
Organization
JK RADIOLOGY SERVICES, CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEANNINE M. BADILLO MD (PRESIDENT)
(787) 293-4641
Entity
Organization
Contact information
Practice address
TRUJILLO MEDICAL BUILDING SUITE 202-203, EXPRESO TRUJILLO ALTO KM. 2.1, TRUJILLO ALTO, PR 00976
(787) 293-4641
(787) 748-2840
Mailing address
PO BOX 41071, SAN JUAN, PR 00940-1071
(787) 293-4641
(787) 748-2840
Taxonomy
Speciality
Code
Description
License number
State
261QR0206X
Mammography Clinic/Center
Primary
12086
PR
Other
Enumeration date
02/02/2009
Last updated
02/02/2009
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