# IMI OF SAN JUAN

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CAROLINA NUCLEAR & CARDIOVASCULAR INSTTUTE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609190610
- **Authorized official:** MS. NIVIA SOUFFRONT (CENTER DIRECTOR)
- **Authorized official phone:** (787) 757-5985

## Contact information

- **Practice address:** AVENUE MONSERRATE \#AC8, VALLE ARRIBA HEIGHTS, CAROLINA, PR 00985-5444
- **Practice address phone:** (787) 757-5985
- **Practice address fax:** (787) 757-6190
- **Mailing address:** 1448 AVE FERNANDEZ JUNCOS, SANTURCE, PR 00909-2655
- **Mailing address phone:** (787) 721-7776
- **Mailing address fax:** (787) 721-7774

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | 52-25390-01 | PR | Yes |

## Other

- **Enumeration date:** 03/19/2010
- **Last updated:** 03/31/2010