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Organization
IMAGING & RADIOLOGY ADVOCATES PSC
Active
Organization
IMAGING & RADIOLOGY ADVOCATES PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAUL CORDERO CALERO M.D. (PRESIDENT / NEURORADIOLOGO)
(787) 469-8981
Entity
Organization
Contact information
Practice address
HOSPITAL BUEN SAMARITANO, DEPT. RADIOLOGIA OFICINA DE RADIOLOGOS, AGUADILLA, PR 00605-0363
(787) 903-0033
(787) 524-7400
Mailing address
PO BOX 123, ISABELA, PR 00662-0123
(787) 903-0033
(787) 524-7400
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
13,022
PR
2085R0202X
Diagnostic Radiology Physician
13,022
PR
2085U0001X
Diagnostic Ultrasound Physician
13,022
PR
261QR0200X
Radiology Clinic/Center
13,022
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2,886
NUMERO DEPARTAMENTO DE ESTADO
PR
01
—
FW332Z
MEDICARE PTAN
PR
Enumeration date
06/06/2006
Last updated
11/09/2012
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