# CENTRO DE RADIOLOGIA INTERVENCIONAL DE PUERTO RICO CP

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

## Provider details

- **NPI number:** 1629470158
- **Authorized official:** DR. MARTIN IGNACIO GORROCHATEGUI M.D. (OWNER)
- **Authorized official phone:** (305) 297-4377

## Contact information

- **Practice address:** 1760 CALLE LOIZA STE 205, SANTURCE, PR 00911
- **Practice address phone:** (787) 758-3320
- **Practice address fax:** (787) 758-3358
- **Mailing address:** 660 CALLE ESTADO APT A, SAN JUAN, PR 00907-3533
- **Mailing address phone:** (305) 297-4377
- **Mailing address fax:** (888) 350-0180

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0204X | Vascular & Interventional Radiology Physician | 17366 | PR | Yes |

## Other

- **Enumeration date:** 09/16/2014
- **Last updated:** 07/01/2021