# PET IMAGING RADIOLOGY PSC

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

## Provider details

- **NPI number:** 1740221167
- **Authorized official:** MRS. MYRNA QUINONES (BILLING SUPERVISOR)
- **Authorized official phone:** (787) 269-2442

## Contact information

- **Practice address:** 100 PASEO SAN PABLO, SUITE 208 EDIFICIO DR. ARTURO CADILLA, BAYAMON, PR 00961-7019
- **Practice address phone:** (787) 269-2442
- **Practice address fax:** (787) 780-0143
- **Mailing address:** PO BOX 1186, BAYAMON, PR 00960-1186
- **Mailing address phone:** (787) 269-2442
- **Mailing address fax:** (787) 780-0143

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085N0904X | Nuclear Radiology Physician | PR2006-04 | PR | Yes |

## Other

- **Enumeration date:** 06/09/2006
- **Last updated:** 08/25/2021