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Organization
INSTITUTO MEDICO DEL NORTE INC
Active
Organization
INSTITUTO MEDICO DEL NORTE INC
Active
Parent organization
INSTITUTO MEDICO DEL NORTE INC
Other names
Wilma N Vazquez Imaging San Juan
Organization subpart
Yes
Provider details
NPI number
Legal business name
INSTITUTO MEDICO DEL NORTE INC
Authorized official
MR. ENRIQUE MEDEROS MHSA (EXECUTIVE VP)
(939) 940-8572
Entity
Organization
Contact information
Practice address
REPARTO METROPOLITANO SHOPPING CENTER, SUITE 26A, SAN JUAN, PR 00921
(787) 858-1580
Mailing address
PO BOX 7001, VEGA BAJA, PR 00694-7001
(787) 858-1580
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
11/07/2023
Last updated
11/07/2023
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