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Organization
CENTRO IMAGEN
Active
Organization
CENTRO IMAGEN
Active
Parent organization
ANGELORUM, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ANGELORUM, INC
Authorized official
DR. LUIS M. GONZALEZ MD (PRESIDENT)
(787) 270-4747
Entity
Organization
Contact information
Practice address
CARR 693 SUITE 172, BO BRENAS, VEGA ALTA, PR 00692
(787) 270-4747
(787) 270-4747
Mailing address
PO BOX 356, VEGA ALTA, PR 00692-0356
(787) 270-4747
(787) 270-4747
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
09/29/2010
Last updated
09/29/2010
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