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Organization
CARIBBEAN ROENTGEN GROUP,INC.
Active
Organization
CARIBBEAN ROENTGEN GROUP,INC.
Active
Other names
GLADIMIRO DAVILA-MARTINEZ,M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLADIMIRO DAVILA-MARTINEZ M.D. (RADIOLOGIST)
(787) 733-5588
Entity
Organization
Contact information
Practice address
# 68 CALLE DR. JUSE CELSO BARBOSA, LAS PIEDRAS, PR 00771
(787) 733-5588
(787) 733-5588
Mailing address
PO BOX 1043, LAS PIEDRAS, PR 00771-1043
(787) 733-5588
(787) 733-5588
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
7078
PR
2085P0229X
Pediatric Radiology Physician
7078
PR
2085R0205X
Radiological Physics Physician
7078
PR
2085U0001X
Diagnostic Ultrasound Physician
7078
PR
261QR0200X
Radiology Clinic/Center
Primary
7078
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7078
PUERTO RICO MEDICAL LICENCE
PR
Enumeration date
04/20/2007
Last updated
06/16/2014
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