# ESCORIAL IMAGING CENTER, PSC

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

## Provider details

- **NPI number:** 1780838722
- **Authorized official:** HORACIO R. COLON-ESTEVA MD (PRESIDENT)
- **Authorized official phone:** (787) 721-5135

## Contact information

- **Practice address:** 1400 PARK SOUTH AVENUE, PARQUE ESCORIAL, ESCORIAL BUILDING ONE, CAROLINA, PR 00987
- **Practice address phone:** (787) 721-5135
- **Practice address fax:** (787) 725-1790
- **Mailing address:** PO BOX 8990, FERNANDEZ JUNCOS STATION, SAN JUAN, PR 00910-0990
- **Mailing address phone:** (787) 721-5135
- **Mailing address fax:** (787) 725-1790

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | 163561 | PR | Yes |

## Other

- **Enumeration date:** 11/04/2008
- **Last updated:** 11/04/2008