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Organization
PR MEDICAL SERVICE LLC
Active
Organization
PR MEDICAL SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOURDES M RIVERA VELEZ (PRESIDENT)
(787) 966-7575
Entity
Organization
Contact information
Practice address
16 AVE AGUAS BUENAS SUITE 34 ALTOS, URB SANTA ROSA, BAYAMON, PR 00959
(787) 966-7575
(787) 966-7575
Mailing address
16 AVE AGUAS BUENAS SUITE 34 ALTOS, URB SANTA ROSA, BAYAMON, PR 00959
(787) 966-7575
(787) 966-7575
Taxonomy
Speciality
Code
Description
License number
State
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
—
NULL
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
NULL
2085R0202X
Diagnostic Radiology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
NULL
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
NULL
2085U0001X
Diagnostic Ultrasound Physician
—
—
Other
Enumeration date
10/26/2016
Last updated
06/20/2018
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