# CARDIOVASCULAR RADIOLOGY INSTITUTE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CARDIOVASCULAR RADIOLOGY INSTITUTE
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1265272892
- **Legal business name:** CARDIOVASCULAR RADIOLOGY INSTITUTE
- **Authorized official:** MR. GERARDO MARQUEZ SR. (PRESIDENTE)
- **Authorized official phone:** (787) 268-1015

## Contact information

- **Practice address:** TORRE SAN CRISTOBAL, OFICINA \#108 COTO LAUREL, PONCE, PR 00780
- **Practice address phone:** (787) 268-1015
- **Practice address fax:** (787) 268-5511
- **Mailing address:** P.O. BOX 9101, SAN JUAN, PR 00908-9101
- **Mailing address phone:** (787) 268-1015
- **Mailing address fax:** (787) 268-5511

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0202X | Diagnostic Radiology Physician | — | NULL | — |
| 2085R0202X | Diagnostic Radiology Physician | — | — | — |
| 2471N0900X | Nuclear Medicine Technology Radiologic Technologist | — | NULL | Yes |
| 2471N0900X | Nuclear Medicine Technology Radiologic Technologist | — | — | Yes |
| 261QR0200X | Radiology Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 05/30/2024
- **Last updated:** 05/30/2024
