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Organization
DYNAMIC MRI AND 3D CT CSP
Active
Organization
DYNAMIC MRI AND 3D CT CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NIDZA CORDOVES (ADMINISTRATOR)
(787) 272-3182
Entity
Organization
Contact information
Practice address
6 CALLE CARAZO, GUAYNABO, PR 00969-5613
(787) 272-0668
(787) 708-2588
Mailing address
PMB 336, 405 AVE ESMERALDA STE 2, GUAYNABO, PR 00969-4457
(787) 272-3182
(787) 708-2588
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
07/17/2009
Last updated
10/13/2011
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