# WEST COAST IMAGING LLC

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

## Provider details

- **NPI number:** 1275045874
- **Authorized official:** DR. EDUARDO GONZALEZ PONS MD (OWNER)
- **Authorized official phone:** (787) 450-8590

## Contact information

- **Practice address:** CALLE HERNANDEZ CARRION, MANATI, PR 00674
- **Practice address phone:** (866) 808-5771
- **Mailing address:** 141 CALLE EUFRATES, URBANIZACION EL PARAISO, SAN JUAN, PR 00926
- **Mailing address phone:** (787) 450-8590

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0202X | Diagnostic Radiology Physician | 18575 | PR | — |
| 2085R0204X | Vascular & Interventional Radiology Physician | 18575 | PR | Yes |

## Other

- **Enumeration date:** 11/04/2017
- **Last updated:** 03/26/2018
