# CENTRO RADIOLOGICO SHALOM INC

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

## Provider details

- **NPI number:** 1548570211
- **Authorized official:** MRS. VIVIAN FELICIANO NIEVES (ADMINISTRATOR)
- **Authorized official phone:** (787) 501-5329

## Contact information

- **Practice address:** CARR 2 KM101.6 BO TERRANVOVA, MARGINAL DEL PARQUE, QUEBRADILLAS, PR 00678-0000
- **Practice address phone:** (787) 501-5329
- **Practice address fax:** (787) 280-1698
- **Mailing address:** PO BOX 1559, QUEBRADILLAS, PR 00678-1559
- **Mailing address phone:** (787) 501-5329
- **Mailing address fax:** (787) 280-1698

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 06-182 | PR | Yes |

## Other

- **Enumeration date:** 10/15/2010
- **Last updated:** 12/30/2016