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Organization

CENTRO RADIOLOGICO ROLON INC

Active
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Organization

CENTRO RADIOLOGICO ROLON INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CESAR A DEL VALLE BUGUE (OWNER)
(787) 879-0750
Entity
Organization

Contact information

Practice address
HC 5 BOX 93652, BARRIO HATO ARRIBA, ARECIBO, PR 00612-9610
(787) 879-0750
(787) 879-0772
Mailing address
PO BOX 142292, ARECIBO, PR 00614-2292
(787) 879-0750
(787) 879-0772

Taxonomy

Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
261QR0206X
Mammography Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0084911
MEDICARE ID
PR
Enumeration date
11/03/2005
Last updated
07/30/2015
About Stedi
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