# MODERN RADIOLOGY PSC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265755730
- **Authorized official:** DR. GAMALIER BERMUDEZ-RUIZ MD (PRESIDENT)
- **Authorized official phone:** (787) 856-4262

## Contact information

- **Practice address:** CALLE 25 DE JULIO \# 72, YAUCO, PR 00698-3604
- **Practice address phone:** (787) 856-4262
- **Practice address fax:** (787) 267-3120
- **Mailing address:** PO BOX 7346, PONCE, PR 00732-7346
- **Mailing address phone:** (787) 856-4262
- **Mailing address fax:** (787) 267-3120

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | 4816 | PR | Yes |

## Other

- **Enumeration date:** 03/11/2010
- **Last updated:** 03/11/2010