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Organization
WEST TELERADIOLOGY PSC
Active
Organization
WEST TELERADIOLOGY PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GUILLERMO J AGUILO MD (PRESIDENT)
(787) 806-8185
Entity
Organization
Contact information
Practice address
114 MENDEZ VIGO E, MAYAGUEZ, PR 00680-5052
(787) 806-8185
Mailing address
114 MENDEZ VIGO E, MAYAGUEZ, PR 00680-5052
(787) 806-8185
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
13824
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21014
NPI # 1033227590
PR
Enumeration date
04/24/2014
Last updated
04/24/2014
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