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Organization
CONCORDIA IMAGING
Active
Organization
CONCORDIA IMAGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GRACE CHAVES (ADMINISTRATOR)
(787) 842-2313
Entity
Organization
Contact information
Practice address
8159 CALLE CONCORDIA, PONCE, PR 00717-1551
(787) 842-2313
(787) 842-4218
Mailing address
8159 CALLE CONCORDIA, PONCE, PR 00717-1551
(787) 842-2313
(787) 842-4218
Taxonomy
Speciality
Code
Description
License number
State
261QR0206X
Mammography Clinic/Center
Primary
6655
PR
Other
Enumeration date
03/25/2016
Last updated
03/25/2016
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