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Organization
CENTRO RADIOLOGICO DE ISABELA
Active
Organization
CENTRO RADIOLOGICO DE ISABELA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GILBERTO RODRIGUEZ-SANTIAGO M.D. (OWNER/MEDICAL SUPERVISOR)
(787) 872-4888
Entity
Organization
Contact information
Practice address
4 CALLE MUNOZ RIVERA, ISABELA, PR 00662-3006
(787) 872-4888
(787) 872-8181
Mailing address
PO BOX 946, ISABELA, PR 00662-0946
(787) 872-4888
(787) 872-8181
Taxonomy
Speciality
Code
Description
License number
State
261QR0206X
Mammography Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100710
LA CRUZ AZUL DE P.R.
PR
01
—
30008
PREFERRED MEDICARE CHOICE
PR
01
—
511367
PREFERRED HEALTH
PR
01
—
6620071
HUMANA INSURANCE
PR
01
—
810098
MMM
PR
01
—
A005
INTERNATIONAL MEDICAL CAR
PR
01
—
RX0228
PALIC PROVIDER
PR
Enumeration date
10/07/2005
Last updated
08/22/2020
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