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Organization
LAZOS RADIOLOGY CENTER, LLC
Active
Organization
LAZOS RADIOLOGY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WILMA CORDERO GINES (MANAGER)
(787) 727-0500
Entity
Organization
Contact information
Practice address
611 CALLE MANUEL PAVIA, PAVIA MEDICAL PLAZA, SUITE 113, SAN JUAN, PR 00910
(787) 727-0500
(787) 268-5511
Mailing address
PO BOX 11792, SAN JUAN, PR 00910-2892
(787) 727-0500
(787) 268-5511
Taxonomy
Speciality
Code
Description
License number
State
2471B0102X
Bone Densitometry Radiologic Technologist
—
NULL
2471B0102X
Bone Densitometry Radiologic Technologist
—
—
2471C3401X
Computed Tomography Radiologic Technologist
—
NULL
2471C3401X
Computed Tomography Radiologic Technologist
—
—
2471C3402X
Radiography Radiologic Technologist
—
NULL
2471C3402X
Radiography Radiologic Technologist
—
—
2471M2300X
Mammography Radiologic Technologist
Primary
—
NULL
2471M2300X
Mammography Radiologic Technologist
Primary
—
—
2471N0900X
Nuclear Medicine Technology Radiologic Technologist
—
NULL
2471N0900X
Nuclear Medicine Technology Radiologic Technologist
—
—
2471S1302X
Sonography Radiologic Technologist
—
NULL
2471S1302X
Sonography Radiologic Technologist
—
—
2471V0105X
Vascular Sonography Radiologic Technologist
—
NULL
2471V0105X
Vascular Sonography Radiologic Technologist
—
—
Other
Enumeration date
08/21/2017
Last updated
08/21/2017
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