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Organization
FAJARDO IMAGING MRI CSP
Active
Organization
FAJARDO IMAGING MRI CSP
Active
Other names
FAJARDO IMAGING MRI CSP
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIANA FERNADEZ GARCIA M.D. (RADIOLOGIST)
(787) 860-3400
Entity
Organization
Contact information
Practice address
AVE AGUSTIN PEREZ ANDINO B-30, VILLAS DE RIO GRANDE, RIO GRANDE, PR 00745
(787) 887-5944
(787) 887-7917
Mailing address
PO BOX 490, PUERTO REAL, PR 00740
(787) 860-3400
(787) 863-2075
Taxonomy
Speciality
Code
Description
License number
State
261QR0206X
Mammography Clinic/Center
Primary
5767
PR
Other
Enumeration date
12/12/2006
Last updated
09/21/2011
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