# NEURO RADIO SURGERY GROUP

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

## Provider details

- **NPI number:** 1831276724
- **Authorized official:** MRS. ENID L CRESPO (BILLING SUPERVISION)
- **Authorized official phone:** (787) 834-6070

## Contact information

- **Practice address:** CARR 2, CENTRO MEDICO RAMON E. BETANCES, MAYAGUEZ, PR 00682-6353
- **Practice address phone:** (787) 834-6070
- **Practice address fax:** (787) 834-5535
- **Mailing address:** PO BOX 8043, MARINA STATION, MAYAGUEZ, PR 00681-8043
- **Mailing address phone:** (787) 834-6070
- **Mailing address fax:** (787) 834-5535

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2471R0002X | Radiation Therapy Radiologic Technologist | — | NULL | Yes |
| 2471R0002X | Radiation Therapy Radiologic Technologist | — | — | Yes |

## Other

- **Enumeration date:** 11/01/2006
- **Last updated:** 10/08/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0048900 | TRIPLE S | PR |
| 01 | — | 47-21052 | PLAN DE SALUD U.I.A. INC. | PR |
| 01 | — | 510016 | PREFERRED HEALTH | PR |
| 01 | — | 6820006 | HUMANA | PR |